Portercare Adventist Health System
Organization Active NPI Urology Physician · Littleton, CO
NPI 1053920538 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1053920538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 7750 S Broadway Ste 200
Littleton, CO 80122-2630 - Phone
- (303) 649-3710
- Fax
- (303) 649-3711
- NPI assigned
- Jul 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Practitioners 9
-
Alessandra Marie Bullis, FNP-C
-
Eric Ellis Bybee, D.O., M.B.A.
-
John H Sun, MD
-
Paige Sharp Turk, M.D.
-
Gerlinde S Tynan, MD
-
Samita Garg, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2338779 | Adventhealth Medical Group Urology at | Certificate of waiver | Feb 17, 2028 |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
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
- AdventHealth Medical Group Urology at Littleton
- URRK UROLOGY DTC
Other providers in Littleton, CO
- Nicole Marie Popper
- Kevin Ralph Portenier
- Porter Adventist Health System
- Porter Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
All providers in Littleton, CO · Urology 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 12, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.