Revalidation record
Physicians Ancillary Services Llc — revalidation due 2026-09-30
past duemay be staleNPI 1568883791 · Non-DME Part B · MA · Enrollment ID O20161013002265
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.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20161013002265 | MA | 855B | 2026-09-30 |
| O20140429000172 | CT | 855B | TBD |
- Revalidation due
- 2026-09-30
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-09-30 (30 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 | 2026-09-30 |
Not an official CMS system. Verify before filing.
All MA revalidation dates for October 2026Where this date comes from