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Revalidation record

Englewood Radiologic Group P A — revalidation due 2026-07-31

past duemay be stale

NPI 1639136914 · Non-DME Part B · OR · Enrollment ID O20200730000512

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

This NPI has 37 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20200730000512OR855B2026-07-31
O20200730002772VA855B2026-08-31
O20200810002310MI855B2026-09-30
O20200813001614TX855B2026-10-31
O20050329000957NJ855BTBD
O20200826003770NY855BTBD
O20210222001644CA855BTBD
O20210407000484FL855BTBD
O20231009003472ND855BTBD
O20240117002112WA855BTBD
O20250608000047CO855BTBD
O20251015000423MA855BTBD
O20251017002476AZ855BTBD
O20251022003030CT855BTBD
O20251024000111LA855BTBD
O20251024000672KY855BTBD
O20251024001692NH855BTBD
O20251027000442NV855BTBD
O20251027001991WI855BTBD
O20251028000103PA855BTBD
O20251028000433AL855BTBD
O20251030002940IA855BTBD
O20251030003414TN855BTBD
O20251030004885MO855BTBD
O20251105000858GA855BTBD
O20251105002117HI855BTBD
O20251106004145MT855BTBD
O20251110000503ME855BTBD
O20251110002278NC855BTBD
O20251125000055WV855BTBD
O20251212001533SD855BTBD
O20251229003606IL855BTBD
O20260102002985MN855BTBD
O20260204000313MD855BTBD
O20260210003368SC855BTBD
O20260211004332PR855BTBD
O20260227003948AK855BTBD
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 OR revalidation dates for October 2026Where this date comes from