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Revalidation record

Peninsula Orthopaedic Assoc Pa — revalidation due 2026-12-31

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NPI 1780814202 · DME · DE · Enrollment ID O20100930021891

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

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20100930021891DE855I2026-12-31
O20090805000520DE855BTBD
Revalidation due
2026-12-31
Form to file
855I

Individual physicians and practitioners file CMS-855I.

This NPI's revalidation is due 2026-12-31 — in 63 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-12-31

Not an official CMS system. Verify before filing.

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