Revalidation record
Umass Memorial Radiology Phys Serv — revalidation due 2026-07-31
past duemay be staleNPI 1639122096 · Non-DME Part B · MA · Enrollment ID O20040811000206
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 16 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20040811000206 | MA | 855B | 2026-07-31 |
| O20230502000197 | RI | 855B | TBD |
| O20250106001789 | PA | 855B | TBD |
| O20250107000042 | MD | 855B | TBD |
| O20250107001670 | FL | 855B | TBD |
| O20250109000361 | CO | 855B | TBD |
| O20250109000551 | MS | 855B | TBD |
| O20250113002031 | CA | 855B | TBD |
| O20250128004197 | NH | 855B | TBD |
| O20250220001402 | MN | 855B | TBD |
| O20250226003160 | GA | 855B | TBD |
| O20250317001597 | DC | 855B | TBD |
| O20250318002670 | NC | 855B | TBD |
| O20250319000472 | IL | 855B | TBD |
| O20250324000287 | CT | 855B | TBD |
| O20250410002096 | MI | 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 (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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-07-31 |
Not an official CMS system. Verify before filing.
All MA revalidation dates for October 2026Where this date comes from