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Revalidation record

Matthew Bunte — revalidation due 2023-07-31

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NPI 1518039239 · Non-DME Part B · KS · Enrollment ID I20140721001323

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

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
I20140721001323KS855B2023-07-31
I20140721001470MO855B2023-07-31
Revalidation due
2023-07-31
Form to file
855B

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

CMS published 2023-07-31 and has not refreshed this record. In most cases this means the revalidation was completed.

The public file still contains 2023–2025 due dates. An old date is not evidence that you are in trouble today.

What changed, month by month

SnapshotDue date on the CMS file
2026-102023-07-31

Not an official CMS system. Verify before filing.

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