Active NPI
Portercare Adventist Health System
Doing business as AdventHealth Medical Group Urology at Littleton
- Urology Physician
- Littleton, CO
National Provider Identifier
1053920538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Doing business as
- AdventHealth Medical Group Urology at Littleton
Urrk Urology DTC - Practice address
- 7750 S Broadway Ste 200
Littleton, CO 80122-2630 - Phone
- (303) 649-3710
- Fax
- (303) 649-3711
- NPI assigned
- Jul 30, 2020
- Last updated
- Aug 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
7750 S Broadway Ste 200
Littleton, CO 80122-2630
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names 2
- AdventHealth Medical Group Urology at Littleton
- URRK UROLOGY DTC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2338779 | Adventhealth Medical Group Urology at | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Nurse Practitioner
- Cripple Creek, CO
- NPI 1093174930
-
- Hospitalist Physician
- Colorado Springs, CO
- NPI 1265965925
-
- Gerontology Nurse Practitioner
- Westminster, CO
- NPI 1629777230
-
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1851430011
-
- Surgery Physician
- Parker, CO
- NPI 1003865023
-
- Internal Medicine Physician
- Parker, CO
- NPI 1154390474
-
- Surgery Physician
- Longmont, CO
- NPI 1861443442
-
- Cardiovascular Disease Physician
- Littleton, CO
- NPI 1386658623
-
- Gastroenterology Physician
- Cleveland, OH
- NPI 1285780890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1053920538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713425",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606774325",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 S BROADWAY STE 200",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222630",
"telephone_number": "303-649-3710",
"fax_number": "303-649-3711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-30",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "TACHA",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "303-304-7752",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Medical Group Urology at Littleton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "URRK UROLOGY DTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littleton, CO
- Nicole Marie Popper, PT, DPT
- Kevin Ralph Portenier, DC
- Porter Adventist Health System (AdventHealth Hospice Care Porter)
- Porter Adventist Health System (Neurosurgery One Littleton)
- Portercare Adventist Health System (AdventHealth Medical Group Primary Care at Broadway)
- Portercare Adventist Health System (The Center for Rehabilitation at Littleton Adventist Hospital)
- Portercare Adventist Health System (Centura Littleton Adventist Hospital)
- Portercare Adventist Health System (Interwest Rehab - PMR)
- Portercare Adventist Health System (Colorado Neurovascular Specialists)
- Portercare Adventist Health System (PRLT PC Lone Tree)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.