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Revalidation record

Advanced Radiology Services Pc — revalidation due 2026-05-31

past duemay be stale

NPI 1740283324 · Non-DME Part B · UT · Enrollment ID O20200317001215

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

This NPI has 27 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20200317001215UT855B2026-05-31
O20200618002192VA855B2026-06-30
O20201202003080WA855B2026-09-30
O20101207001170CA855BTBD
O20160215001834HI855BTBD
O20161031000172OR855BTBD
O20220217000467OH855BTBD
O20220314000977WI855BTBD
O20220810002835DC855BTBD
O20221109001853AZ855BTBD
O20231004003633TN855BTBD
O20240422000686NC855BTBD
O20240425002362TX855BTBD
O20240528000374KS855BTBD
O20240719001838CO855BTBD
O20240825000127AL855BTBD
O20240829003533NM855BTBD
O20240903004187GA855BTBD
O20240926001939MS855BTBD
O20241220003804OK855BTBD
O20251121003091RI855BTBD
O20260630000214NH855BTBD
O20110816000552MA855B2023-07-31
O20110817000824IN855B2023-07-31
O20181107003598IL855B2023-11-30
O20190205000557FL855B2024-10-31
O20031104000494MI855B2025-07-31
Revalidation due
2026-05-31
Form to file
855B

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

CMS published a due date of 2026-05-31 (151 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
2026-102026-05-31

Not an official CMS system. Verify before filing.

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