Revalidation record
Advanced Radiology P A — revalidation due 2025-12-31
past duemay be staleNPI 1932167178 · Non-DME Part B · WV · Enrollment ID O20201130002807
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 33 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20201130002807 | WV | 855B | 2025-12-31 |
| O20040420001334 | MD | 855B | TBD |
| O20131115000220 | DC | 855B | TBD |
| O20131125001115 | CO | 855B | TBD |
| O20131204001794 | DE | 855B | TBD |
| O20131205000719 | PA | 855B | TBD |
| O20131210001373 | VA | 855B | TBD |
| O20131212000177 | FL | 855B | TBD |
| O20131223000121 | TX | 855B | TBD |
| O20140106001076 | AL | 855B | TBD |
| O20180316000691 | NC | 855B | TBD |
| O20180726000287 | WI | 855B | TBD |
| O20210423000930 | ID | 855B | TBD |
| O20220218001872 | TN | 855B | TBD |
| O20230427001534 | KY | 855B | TBD |
| O20230710000962 | MO | 855B | TBD |
| O20230711004034 | MI | 855B | TBD |
| O20250714003904 | UT | 855B | TBD |
| O20251118002096 | VT | 855B | TBD |
| O20260207000515 | SC | 855B | TBD |
| O20260513001853 | IA | 855B | TBD |
| O20260520001005 | SD | 855B | TBD |
| O20180711000164 | KS | 855B | 2023-07-31 |
| O20140603002649 | HI | 855B | 2024-01-31 |
| O20140618001862 | CA | 855B | 2024-01-31 |
| O20140822000327 | NY | 855B | 2024-02-29 |
| O20160927001734 | WA | 855B | 2024-03-31 |
| O20170124002217 | AZ | 855B | 2024-04-30 |
| O20180216002197 | NE | 855B | 2024-05-31 |
| O20180219002869 | NV | 855B | 2024-07-31 |
| O20180307001408 | MN | 855B | 2024-08-31 |
| O20180330000476 | CT | 855B | 2024-09-30 |
| O20190308002558 | MA | 855B | 2025-09-30 |
- Revalidation due
- 2025-12-31
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2025-12-31 (303 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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2025-12-31 |
Not an official CMS system. Verify before filing.
All WV revalidation dates for October 2026Where this date comes from