Revalidation record

Fullerton Radiology Medical Group Inc — revalidation due 2026-10-31

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NPI 1861451858 · Non-DME Part B · CA · Enrollment ID O20040917000672

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

This NPI has 32 enrollments. They stay separate. The detail below is the one to look at first.

Enrollment	State	Form	Due
O20040917000672	CA	855B	2026-10-31
O20240313004540	FL	855B	TBD
O20240314004301	PR	855B	TBD
O20240319000021	PA	855B	TBD
O20240319000063	NJ	855B	TBD
O20240319000147	MD	855B	TBD
O20240319000429	DE	855B	TBD
O20240319001055	DC	855B	TBD
O20240320002395	IL	855B	TBD
O20240320004105	CO	855B	TBD
O20240320004199	TX	855B	TBD
O20240321003509	MN	855B	TBD
O20240321004060	NM	855B	TBD
O20240322000212	MA	855B	TBD
O20240322000447	NY	855B	TBD
O20240322001309	VT	855B	TBD
O20240325002500	NV	855B	TBD
O20240325003204	AZ	855B	TBD
O20240326003422	HI	855B	TBD
O20240403003305	KS	855B	TBD
O20240417002055	OR	855B	TBD
O20240418003880	KY	855B	TBD
O20240422000053	WY	855B	TBD
O20240424003186	NC	855B	TBD
O20240430002414	WI	855B	TBD
O20240502000408	VA	855B	TBD
O20240520001105	OH	855B	TBD
O20240620002091	WA	855B	TBD
O20241021003869	OK	855B	TBD
O20241226001783	IN	855B	TBD
O20250203003030	MI	855B	TBD
O20250519001180	NE	855B	TBD

Revalidation due: 2026-10-31
Form to file: 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.

This NPI's revalidation is due 2026-10-31 — in 2 days.

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

What changed, month by month

Snapshot	Due date on the CMS file
2026-10	2026-10-31

Not an official CMS system. Verify before filing.