PATRIOTMED OF KANSAS, P.A.
NPI 1124963350
Clinic/Center - Radiology in Jacksonville, FL
About Patriotmed Of Kansas, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRIOTMED OF KANSAS, P.A. (NPI 1124963350) is a healthcare organization registered as a radiology in Jacksonville, Florida and active in the NPI registry since April 2026. The organization lists Robert Scott Thornock, Chief Strategy Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patriotmed Of Kansas, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Patriotmed Of Kansas, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patriotmed Of Kansas, P.A.'s NPI number?
The NPI number for Patriotmed Of Kansas, P.A. is 1124963350. It was assigned to this organization in the NPPES registry on April 22, 2026.
Where is Patriotmed Of Kansas, P.A. located?
Patriotmed Of Kansas, P.A. is located at 3030 Hartley Rd Ste 140, Jacksonville, FL 32257. The listed phone number is (904) 475-2365.
What is Patriotmed Of Kansas, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Patriotmed Of Kansas, P.A. enrolled in Medicare?
Yes. Patriotmed Of Kansas, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patriotmed Of Kansas, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Patriotmed Of Kansas, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Patriotmed Of Kansas, P.A. was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patriotmed Of Kansas, P.a. · NPI 1124963350
Radiology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since April 22, 2026.
## Identity
- **NPI:** 1124963350 (Entity type: Organization)
- **Enumerated:** April 22, 2026
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Robert Thornock, CHIEF STRATEGY OFFICER
## Practice location
- **Address:** 3030 HARTLEY RD STE 140, Jacksonville, FL 32257-8210
- **Phone:** (904) 475-2365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124963350) · Data from the CMS NPPES public registry.