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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1104661370
Urology in Lone Tree, CO

Active since June 28, 2024
9695 S YOSEMITE ST STE 359, LONE TREE, CO 80124(303) 825-8822(303) 825-4022 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Portercare Adventist Health System NPPES

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

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1104661370), doing business as Adventhealth Medical Group Urology At Lone Tree, is a healthcare organization registered as an urology in Lone Tree, Colorado and active in the NPI registry since June 2024. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1104661370
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address9695 S YOSEMITE ST STE 359Lone Tree, CO 80124-2888
Mailing AddressPo Box 713425Chicago, IL 60677-4325
Phone(303) 825-8822
Fax(303) 825-4022
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1104661370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9695 S YOSEMITE ST STE 359, Lone Tree, CO 80124
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Other Names 1

Doing Business AsAdventhealth Medical Group Urology At Lone Tree

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, 2 practice at this address and 327 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
Lauren Gleckler, M.D.
General Surgery
NPI 1841633567
9695 S YOSEMITE ST STE 385
Lone Tree, CO 80124
(303) 715-7119
✔ PECOS✔ Accepts MedicareSame address
Kristen Boylan, M.D.
Obstetrics/Gynecology
NPI 1114174059
9695 S YOSEMITE ST STE 255B
Lone Tree, CO 80124
(303) 649-3380
✔ PECOS✔ Accepts MedicareSame address
Mark Fitzgerald, MD
Orthopedic Surgery
NPI 1124199682
9777 S YOSEMITE ST SUITE 220
Lone Tree, CO 80124
(303) 699-7325
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Greenhow, MD
Orthopedic Surgery
NPI 1518937291
9777 S YOSEMITE ST 220
Lone Tree, CO 80124
(303) 699-7325
✔ PECOS✔ Accepts Medicare0.1 mi
David Loucks, MD
Orthopedic Surgery
NPI 1699745836
9777 S YOSEMITE ST 220
Lone Tree, CO 80124
(303) 699-7325
✔ PECOS✔ Accepts Medicare0.1 mi
Hugh Mcpherson, MD
Orthopedic Surgery
NPI 1447234281
9777 S YOSEMITE ST 220
Lone Tree, CO 80124
(303) 699-7325
✔ PECOS✔ Accepts Medicare0.1 mi
In Yi, MD
Hand Surgery
NPI 1346288099
9777 S YOSEMITE ST SUITE 220
Lonetree, CO 80124
(303) 699-7325
✔ PECOS✔ Accepts Medicare0.1 mi
Barbara Slocum, CNM,WHNP-BC
Certified Nurse Midwife (CNM)
NPI 1053713495
10465 PARK MEADOWS DR SUITE 104
Lone Tree, CO 80124
(303) 799-7903
✔ PECOS✔ Accepts Medicare0.7 mi
Piper Rudel, FNP
Nurse Practitioner
NPI 1922298900
10240 PARK MEADOWS DR
Lone Tree, CO 80124
(303) 338-4545
✔ PECOS✔ Accepts Medicare0.8 mi
Melanie Bentley, WHNP
Nurse Practitioner
NPI 1245983808
10290 RIDGEGATE CIR
Lone Tree, CO 80124
(303) 788-8300
✔ PECOS✔ Accepts Medicare1.0 mi
Seana Benham, NP
Nurse Practitioner
NPI 1538702618
10103 RIDGEGATE PKWY STE 203
Lone Tree, CO 80124
(303) 327-4700
✔ PECOS✔ Accepts Medicare1.1 mi
John Sharp, DPM
Podiatry
NPI 1205827979
10103 RIDGEGATE PKWY #309
Lone Tree, CO 80124
(303) 662-1600
✔ PECOS✔ Accepts Medicare1.1 mi
Robert Heineman, DO
Hospitalist
NPI 1053872101
10099 RIDGEGATE PKWY STE 200
Lone Tree, CO 80124
(720) 476-3364
✔ PECOS✔ Accepts Medicare1.1 mi
Brandon Hoy, DO
Family Practice
NPI 1487150801
10099 RIDGEGATE PKWY STE 200
Lone Tree, CO 80124
(720) 874-2411
✔ PECOS✔ Accepts Medicare1.1 mi
Elise Chu, M.D.
Obstetrics/Gynecology
NPI 1912910175
10099 RIDGEGATE PKWY 370
Lone Tree, CO 80124
(303) 795-3110
✔ PECOS✔ Accepts Medicare1.1 mi
Derek Johnson, M.D.
Orthopedic Surgery
NPI 1295946283
9949 S OSWEGO ST SUITE 200
Parker, CO 80134
(303) 925-4750
✔ PECOS✔ Accepts Medicare1.8 mi
Miranda Jackson
Mental Health Counselor
NPI 1750683447
9949 S OSWEGO ST STE 300
Parker, CO 80134
(303) 649-3100
✔ PECOS✔ Accepts Medicare1.8 mi
Heidi Ray, M.D.
Neurology
NPI 1427265883
9949 S OSWEGO ST STE 200
Parker, CO 80134
(303) 925-4750
✔ PECOS✔ Accepts Medicare1.8 mi
Deborah Jacobson, MD
Sports Medicine
NPI 1932205259
9331 S COLORADO BLVD SUITE 200
Highlands Ranch, CO 80126
(303) 471-4711
✔ PECOS3.1 mi
Anthony Hasselbach, M.D.
Diagnostic Radiology
NPI 1184982167
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts Medicare3.3 mi
See all 733 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1104661370. It was assigned to this organization in the NPPES registry on June 28, 2024. The provider is doing business as AdventHealth Medical Group Urology at Lone Tree.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 9695 S Yosemite St Ste 359, Lone Tree, CO 80124. The listed phone number is (303) 825-8822.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Portercare Adventist Health System enrolled in Medicare?

Yes. Portercare Adventist Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portercare Adventist Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 733 clinicians in 45 Medicare specialties reassign their Medicare billing to Portercare Adventist Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (159), Family Practice (83) and Internal Medicine (77). Of these, 2 practice at this address and 327 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.