PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1053923672
Family Medicine in Denver, CO

Q: What is Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1053923672. It was assigned to this organization in the NPPES registry on August 17, 2020. The provider is doing business as AdventHealth Medical Group Primary Care at Southmoor. The provider is also known as CHPG Primary Care Southmoor.

Q: What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 17, 2020

7000 E HAMPDEN AVE STE 200, DENVER, CO 80224(303) 925-4960(303) 925-4691 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2026, Sep 16, 2020, Aug 17, 2020 (3 updates tracked since 2020).

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About Portercare Adventist Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1053923672), doing business as Adventhealth Medical Group Primary Care At Southmoor, is a healthcare organization registered as a family medicine in Denver, Colorado and active in the NPI registry since August 2020. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1053923672

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM

Location Address7000 E HAMPDEN AVE STE 200Denver, CO 80224-3012

Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104 · Fax (303) 765-6670

Phone(303) 925-4960

Fax(303) 925-4691

Organization SubpartNo

Authorized OfficialJason TachaCoo · (303) 304-7752

Enumeration DateAugust 17, 2020

Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1053923672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7000 E HAMPDEN AVE STE 200, Denver, CO 80224

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Other Names 2

Doing Business AsAdventhealth Medical Group Primary Care At Southmoor

Other NameChpg Primary Care Southmoor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portercare Adventist Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

733

Medicare enrollment records show 733 clinicians reassign Medicare billing to Portercare Adventist Health System, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 375 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner159

Family Practice83

Internal Medicine77

Obstetrics/Gynecology69

Hospitalist47

Orthopedic Surgery36

Gastroenterology25

Mental Health Counselor20

37 other specialties217

Nearest to this location (20)

See all 733

Clare Rudman, DO

Internal Medicine

NPI 1982282265

7000 E HAMPDEN AVE STE 200
Denver, CO 80224

(303) 925-4960