Revalidation record
Advanced Berkshire Medical Imaging Pc — revalidation due 2026-08-31
past duemay be staleNPI 1588778807 · Non-DME Part B · NY · Enrollment ID O20210830000339
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 25 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210830000339 | NY | 855B | 2026-08-31 |
| O20210903000999 | NJ | 855B | 2026-09-30 |
| O20040731000004 | MA | 855B | TBD |
| O20220118001102 | FL | 855B | TBD |
| O20251218002327 | OK | 855B | TBD |
| O20251218002760 | CO | 855B | TBD |
| O20251219002214 | MD | 855B | TBD |
| O20251219002402 | PA | 855B | TBD |
| O20251219003280 | OH | 855B | TBD |
| O20251223000703 | WA | 855B | TBD |
| O20251223001195 | WI | 855B | TBD |
| O20251223001302 | NV | 855B | TBD |
| O20251223003231 | CA | 855B | TBD |
| O20251223003828 | HI | 855B | TBD |
| O20251224000925 | TN | 855B | TBD |
| O20251224001343 | AK | 855B | TBD |
| O20251224001363 | OR | 855B | TBD |
| O20251224001879 | AZ | 855B | TBD |
| O20251230002436 | TX | 855B | TBD |
| O20260105003119 | GA | 855B | TBD |
| O20260108002690 | NC | 855B | TBD |
| O20260115002639 | MO | 855B | TBD |
| O20260120001694 | NH | 855B | TBD |
| O20260120002386 | CT | 855B | TBD |
| O20260123001283 | MI | 855B | TBD |
- Revalidation due
- 2026-08-31
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-08-31 (59 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 | 2026-08-31 |
Not an official CMS system. Verify before filing.
All NY revalidation dates for October 2026Where this date comes from