Active NPI
Portercare Adventist Health System
Doing business as AdventHealth Medical Group Primary Care at Porter
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1568078210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Doing business as
- AdventHealth Medical Group Primary Care at Porter
- Practice address
- 950 E Harvard Ave Ste 200
Denver, CO 80210-7006 - Phone
- (303) 649-3200
- Fax
- (303) 765-6201
- NPI assigned
- Sep 18, 2020
- Last updated
- Aug 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
950 E Harvard Ave Ste 200
Denver, CO 80210-7006
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names 1
- AdventHealth Medical Group Primary Care at Porter
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 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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.
-
- Interventional Pain Medicine Physician
- Castle Rock, CO
- NPI 1689170532
-
- Family Medicine Physician
- Thornton, CO
- NPI 1811218506
-
- Physician Assistant
- Littleton, CO
- NPI 1952112005
-
- Family Nurse Practitioner
- Littleton, CO
- NPI 1134664121
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1568814036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1568078210",
"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": "950 E HARVARD AVE STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802107006",
"telephone_number": "303-649-3200",
"fax_number": "303-765-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Medical Group Primary Care at Porter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
- Portercare Adventist Health System (AdventHealth ER & Urgent Care Southmoor)
- Portercare Adventist Health System (AdventHealth Radiation Oncology Porter)
- Portercare Adventist Health System (Centura Health - Porter Adventist Hospital)
- Portercare Adventist Health System (Mountain View Family Physicians)
- Portercare Adventist Health System (Adventhealth Pharmacy Porter)
- Portercare Adventist Health System (AdventHealth Medical Group Complex Gynecology and Surgery at Porter)
- Portercare Adventist Health System (HLNH Orthopedics)
- Portercare Adventist Health System (Porter Adventist Hospital)
- Portercare Adventist Health System (HLNH Breast Care)
- Portercare Adventist Health System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.