Portercare Adventist Health System
Organization Active NPI Cardiovascular Disease Physician · Littleton, CO
NPI 1861782476 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1861782476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 1000 Southpark Dr
Littleton, CO 80120-5654 - Phone
- (303) 744-1065
- Fax
- (303) 733-1699
- NPI assigned
- Apr 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Member of 1
Practitioners 11
-
Jennifer Blair, M.D.
-
Andrew Fred Opp Prouse, M.D.
-
Rita Sharma, MD
-
Carsten M. Sorensen, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Interventional Cardiology Physician |
207RI0011X |
Addresses
Primary practice location
1000 Southpark Dr
Littleton, CO 80120-5654
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names
- SDCA LITTLETON CLINIC
- South Denver Cardiology Associates
NPI Registry JSON
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1861782476",
"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": "1000 SOUTHPARK DR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205654",
"telephone_number": "303-744-1065",
"fax_number": "303-733-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-15",
"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": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SDCA LITTLETON CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "South Denver Cardiology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littleton, CO
- Portercare Adventist Health System
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- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Joshua Portnoy
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All providers in Littleton, CO · Cardiovascular Disease 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.