Portercare Adventist Health System

Organization Active NPI Internal Medicine Physician · Parker, CO

NPI 1760098412 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1760098412
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Practice address
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Phone
(303) 770-0500
Fax
(303) 220-5053
NPI assigned
Sep 18, 2020
Organization subpart
No

Authorized official

Name
Mr. Jason Tacha
Title
Coo
Phone
(303) 304-7752

Corporate family (same tax ID) 24

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

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Avista Adventist Hospital (210 organizations share this tax ID)

Locations

9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048

Mailing address

PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104

Other names

  • AdventHealth Medical Group Internal Medicine at Parker Doing business as
  • CHPG Internal Medicine Parker Other name

Other providers in Parker, CO

All providers in Parker, CO · Internal Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.