PATRIOTMED OF KANSAS, P.A.
NPI 1861333015
Clinic/Center - Radiology in Fort Walton Beach, FL

Active since April 02, 2026
339 RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 374-3187(850) 374-3187 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1861333015) is a healthcare organization registered as a radiology in Fort Walton Beach, 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

NPI1861333015
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePATRIOTMED OF KANSAS, P.A.
Location Address339 RACETRACK RD NWFort Walton Beach, FL 32547-1538
Mailing Address339 Racetrack Rd NwFort Walton Beach, FL 32547-1538 · (850) 374-3187 · Fax (850) 374-3187
Fax(850) 374-3187
Organization SubpartNo
Authorized OfficialRobert Scott ThornockChief Strategy Officer · (480) 369-1270
Enumeration DateApril 2, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1861333015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
339 RACETRACK RD NW, Fort Walton Beach, FL 32547

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)

Diagnostic Radiology
NPI 1427176429
9958 PENINSULA DR
Traverse City, MI 49686
(231) 421-5722
✔ PECOS✔ Accepts Medicare994 mi

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 1861333015. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Patriotmed Of Kansas, P.A. located?

Patriotmed Of Kansas, P.A. is located at 339 Racetrack Rd NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 374-3187.

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.