NPIMap

Organization Active NPI

Mid-America Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
National Provider Identifier
1811221252
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-AMERICA ORTHOPEDICS LLC
Practice address
12112 W Kellogg St
Wichita, KS 67235-1100
Phone
(316) 440-1100
Fax
(316) 440-1089
NPI assigned
Oct 1, 2009
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-AMERICA ORHTOPEDICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pat DO, MDNPI 1013994979
Title
Owner
Phone
(316) 262-4886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12112 W Kellogg St
Wichita, KS 67235-1100

Mailing address

1923 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075072 KS DME Supplier - Physician - General SurgeryDME Supplier - Independently-Practicing Physical Therapist 1850455759 Practice locations: Wichita, KS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2081294Mid-America Orthopedics12112 West Kellogg, Wichita, KS 67235Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mid-America Orthopedics LLC5 organizations share this tax ID, including this one
Part of
Mid-America Orthopedics LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1811221252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "316-858-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 W KELLOGG ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351100",
            "telephone_number": "316-440-1100",
            "fax_number": "316-440-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA ORTHOPEDICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-AMERICA ORHTOPEDICS LLC",
        "enumeration_date": "2009-10-01",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-262-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.