Revalidation record
Healthtap Medical Group Pc — revalidation due 2026-07-31
past duemay be staleNPI 1518330539 · Non-DME Part B · GA · Enrollment ID O20210707000244
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 31 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210707000244 | GA | 855B | 2026-07-31 |
| O20210722001601 | CA | 855B | 2026-08-31 |
| O20210726000532 | NY | 855B | 2026-09-30 |
| O20210831002986 | AL | 855B | 2026-09-30 |
| O20210902000847 | KY | 855B | 2026-10-31 |
| O20210903000076 | VA | 855B | 2026-10-31 |
| O20210903000304 | NC | 855B | 2026-11-30 |
| O20210908001186 | MO | 855B | 2026-12-31 |
| O20210630002400 | FL | 855B | TBD |
| O20210908000062 | MD | 855B | TBD |
| O20210908002516 | DC | 855B | TBD |
| O20210916003145 | DE | 855B | TBD |
| O20210917000193 | ME | 855B | TBD |
| O20210922003488 | OH | 855B | TBD |
| O20210928000300 | AR | 855B | TBD |
| O20210928001935 | KS | 855B | TBD |
| O20210928002506 | IN | 855B | TBD |
| O20210929001972 | MN | 855B | TBD |
| O20211101001288 | NM | 855B | TBD |
| O20211101001658 | SC | 855B | TBD |
| O20211103003385 | ID | 855B | TBD |
| O20220103001610 | IL | 855B | TBD |
| O20220104002444 | WA | 855B | TBD |
| O20220721001964 | NV | 855B | TBD |
| O20220922003964 | TN | 855B | TBD |
| O20221010001236 | PA | 855B | TBD |
| O20230725002147 | VT | 855B | TBD |
| O20230802001979 | MS | 855B | TBD |
| O20230802003147 | WV | 855B | TBD |
| O20230811001565 | NH | 855B | TBD |
| O20230823001031 | AZ | 855B | TBD |
- 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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-07-31 |
Not an official CMS system. Verify before filing.
All GA revalidation dates for October 2026Where this date comes from