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Revalidation record

Columbus Radiology Corp — revalidation due 2025-10-31

past duemay be stale

NPI 1669408159 · Non-DME Part B · PA · Enrollment ID O20190919002360

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

This NPI has 39 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20190919002360PA855B2025-10-31
O20181206003284FL855B2026-01-31
O20190925001016MT855B2026-03-31
O20200413001620OK855B2026-05-31
O20200702000258RI855B2026-06-30
O20200713001637TN855B2026-07-31
O20210108001400GA855B2026-08-31
O20100127000680HI855B2026-09-30
O20040308000742OH855BTBD
O20170306001343KY855BTBD
O20170417000208IL855BTBD
O20170501000331NC855BTBD
O20210111002273MD855BTBD
O20211018001934WA855BTBD
O20211215000972ME855BTBD
O20220104003042VA855BTBD
O20220907000825CT855BTBD
O20220908000442MA855BTBD
O20220915001147WV855BTBD
O20221230000476IN855BTBD
O20230309002219MN855BTBD
O20230421001351KS855BTBD
O20240219003046WY855BTBD
O20251030003941MS855BTBD
O20251114002854NM855BTBD
O20170719001245NJ855B2023-07-31
O20171024003157NV855B2023-10-31
O20181107001886SC855B2023-12-31
O20170208001395CA855B2024-04-30
O20170215002490AZ855B2024-05-31
O20170413001689NY855B2024-06-30
O20170418001620MI855B2024-07-31
O20170630001497CO855B2024-08-31
O20170621001399OR855B2024-09-30
O20180730000956UT855B2024-10-31
O20190108000527TX855B2025-07-31
O20190827001850WI855B2025-07-31
O20190912003316AL855B2025-08-31
O20190919001909DC855B2025-09-30
Revalidation due
2025-10-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2025-10-31 (364 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
2026-102025-10-31

Not an official CMS system. Verify before filing.

All PA revalidation dates for October 2026Where this date comes from