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Revalidation record

Healthtap Medical Group Pc — revalidation due 2026-07-31

past duemay be stale

NPI 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.

EnrollmentStateFormDue
O20210707000244GA855B2026-07-31
O20210722001601CA855B2026-08-31
O20210726000532NY855B2026-09-30
O20210831002986AL855B2026-09-30
O20210902000847KY855B2026-10-31
O20210903000076VA855B2026-10-31
O20210903000304NC855B2026-11-30
O20210908001186MO855B2026-12-31
O20210630002400FL855BTBD
O20210908000062MD855BTBD
O20210908002516DC855BTBD
O20210916003145DE855BTBD
O20210917000193ME855BTBD
O20210922003488OH855BTBD
O20210928000300AR855BTBD
O20210928001935KS855BTBD
O20210928002506IN855BTBD
O20210929001972MN855BTBD
O20211101001288NM855BTBD
O20211101001658SC855BTBD
O20211103003385ID855BTBD
O20220103001610IL855BTBD
O20220104002444WA855BTBD
O20220721001964NV855BTBD
O20220922003964TN855BTBD
O20221010001236PA855BTBD
O20230725002147VT855BTBD
O20230802001979MS855BTBD
O20230802003147WV855BTBD
O20230811001565NH855BTBD
O20230823001031AZ855BTBD
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 GA revalidation dates for October 2026Where this date comes from