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Revalidation record

Claremont Imaging Associates A Medical Corporation — revalidation due 2026-07-31

past duemay be stale

NPI 1619068921 · Non-DME Part B · CA · Enrollment ID O20050203000703

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

This NPI has 35 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20050203000703CA855B2026-07-31
O20240723001243CT855BTBD
O20240723004785CO855BTBD
O20240725000063TX855BTBD
O20240726000169NJ855BTBD
O20240726000484DE855BTBD
O20240726001026MD855BTBD
O20240812001616SC855BTBD
O20240819001232AZ855BTBD
O20240819001390OR855BTBD
O20240819001506ID855BTBD
O20240821001321NY855BTBD
O20240821004585OH855BTBD
O20240822001617NH855BTBD
O20240822002662IL855BTBD
O20240823001092MA855BTBD
O20240826003482GA855BTBD
O20240826003973ME855BTBD
O20240827000451AL855BTBD
O20240829003436FL855BTBD
O20240903003759HI855BTBD
O20240903004022NV855BTBD
O20240905004351WA855BTBD
O20240906001222VA855BTBD
O20240907000191KY855BTBD
O20240910000165NC855BTBD
O20241115000135MS855BTBD
O20241120003712PA855BTBD
O20250815001366IA855BTBD
O20250815001472MI855BTBD
O20250827000156WI855BTBD
O20250910002705MO855BTBD
O20251105000505VT855BTBD
O20251119004176UT855BTBD
O20260304000336PR855BTBD
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 (91 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 CA revalidation dates for October 2026Where this date comes from