Portercare Adventist Health System
Organization Active NPI Family Medicine Physician · Elizabeth, CO
NPI 1003446485 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1003446485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 240 Elizabeth St Ste B
Elizabeth, CO 80107-7546 - Phone
- (303) 269-2551
- Fax
- (303) 269-2552
- NPI assigned
- Jan 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Practitioners 10
-
Jeffrey Martin Albert, M.D.
-
Lukasz Cerbin, MD
-
Katherine Diggins, PA-C
-
Alexandra L Dimatteo, M.D
-
Albert Hor, MD
-
Katarzyna Zofia Kocol, D.O.
-
Louisa Jeanette Sisnroy, ARNP
-
Alison Tate, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000327 | CO | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 869 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
240 S Elizabeth St
Ste B
Elizabeth, CO 80107
Phone (303) 269-2551
240 S Elizabeth St
Elizabeth, CO 80107
Phone (303) 646-3757
240 S Elizabeth St
Unit 103
Elizabeth, CO 80107
Phone (262) 989-6647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
240 Elizabeth St Ste B
Elizabeth, CO 80107-7546
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names
- AdventHealth Medical Group Primary Care at Elizabeth
- Centura Medical Group Primary Care Elizabeth
Other providers in Elizabeth, CO
- Beth Pierce Baker
- Pine Ridge Terrace Manor LLC
- Pioneer Home Medical Supply LLC
- Andrew Sovannak Ponn
- Jessica Porter
- Jenna Pranger
- Allison Pusbach
- Cassandra Marie Radish
- Randy J Rau
- Brittany Razee-Erosky
All providers in Elizabeth, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.