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Revalidation record

Kaleida Health — revalidation due 2026-07-31

past duemay be stale

NPI 1427870070 · Non-DME Part B · NY · Enrollment ID O20031105000212

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 28 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20031105000212NY855B2026-07-31
O20141002000205PA855BTBD
O20250114000315FL855BTBD
O20250115000521MN855BTBD
O20250115003530CO855BTBD
O20250116003338MD855BTBD
O20250117003238KY855BTBD
O20250123000755IA855BTBD
O20250123003192NJ855BTBD
O20250123003645NM855BTBD
O20250128002096MI855BTBD
O20250128002344NV855BTBD
O20250128002768CA855BTBD
O20250129003236TX855BTBD
O20250130003123AL855BTBD
O20250130003349GA855BTBD
O20250130004054NC855BTBD
O20250203001081DC855BTBD
O20250203002509NH855BTBD
O20250210001716WA855BTBD
O20250211000396IL855BTBD
O20250211002839MA855BTBD
O20250212000036CT855BTBD
O20250225003104AZ855BTBD
O20250227001792SC855BTBD
O20250305001944TN855BTBD
O20250317001817MO855BTBD
O20250324002920OH855BTBD
Revalidation due
2026-07-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-07-31 (90 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-07-31

Not an official CMS system. Verify before filing.

All NY revalidation dates for October 2026Where this date comes from