ADVENTHEALTH MEDICAL GROUP SPORTS MEDICINE AT CASTLE ROCK
NPI 1235828294
Family Medicine - Sports Medicine in Castle Rock, CO

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

The NPI number for Portercare Adventist Health System is 1235828294. It was assigned to this organization in the NPPES registry on May 4, 2023. The provider is doing business as Adventhealth Medical Group Sports Medicine At Castle Rock. The provider is also known as HealthFit Sports Medicine Castle Rock.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since May 04, 2023

4350 LIMELIGHT AVE STE 100, CASTLE ROCK, CO 80109(720) 330-1390(720) 995-5206 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2024, May 4, 2023 (2 updates tracked since 2023).

On this page

About Adventhealth Medical Group Sports Medicine At Castle Rock NPPES

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

ADVENTHEALTH MEDICAL GROUP SPORTS MEDICINE AT CASTLE ROCK (NPI 1235828294) is a healthcare organization registered as a sports medicine in Castle Rock, Colorado and active in the NPI registry since May 2023. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1235828294

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM

Location Address4350 LIMELIGHT AVE STE 100Castle Rock, CO 80109-8034

Mailing AddressPo Box 713425Chicago, IL 60677-4325

Phone(720) 330-1390

Fax(720) 995-5206

Organization SubpartNo

Authorized OfficialJason TachaCoo · (303) 304-7752

Enumeration DateMay 4, 2023

Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1235828294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4350 LIMELIGHT AVE STE 100, Castle Rock, CO 80109

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Other Names 2

Doing Business AsAdventhealth Medical Group Sports Medicine At Castle Rock

Other NameHealthfit Sports Medicine Castle Rock

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)

Adventhealth Medical Group Sports Medicine At Castle Rock 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 Adventhealth Medical Group Sports Medicine At Castle Rock, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 96 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

Rajshri Bolson, MD

Hand Surgery

NPI 1588772610

4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts MedicareSame address

Anthony Sanchez, M.D.

Orthopedic Surgery

NPI 1366445041

4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts MedicareSame address

Nicholas Stockwell, DO

Orthopedic Surgery

NPI 1225411242

4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts MedicareSame address

Eduardo Carrera, MD

Physical Medicine and Rehabilitation

NPI 1689170532

4350 LIMELIGHT AVE
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts MedicareSame address

Lynn Barta, M.D.

Obstetrics/Gynecology

NPI 1851330492

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0350

✔ PECOSSame address

Anne Manchester, MD

Internal Medicine

NPI 1750532552

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0655

✔ PECOS✔ Accepts MedicareSame address

Thomas Rose, M.D.

Internal Medicine

NPI 1639531098

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0655

✔ PECOS✔ Accepts MedicareSame address

Kristen Scogin, MD

Obstetrics/Gynecology

NPI 1417210477

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0350

✔ PECOS✔ Accepts MedicareSame address

Azure Smith, APRN, FNP-C

Nurse Practitioner

NPI 1841766268

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0489

✔ PECOS✔ Accepts MedicareSame address

Irene Soesilo, DO

Internal Medicine

NPI 1912062746

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0655

✔ PECOS✔ Accepts MedicareSame address

Stuart Weatherwax, MD

Obstetrics/Gynecology

NPI 1063688588

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0350

✔ PECOS✔ Accepts MedicareSame address

Kiersten Williams, MD

Obstetrics/Gynecology

NPI 1710944731

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0350

✔ PECOS✔ Accepts MedicareSame address

Roy Bergstrom, MD

Obstetrics/Gynecology

NPI 1174506422

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-0350

✔ PECOS✔ Accepts Medicare0.1 mi

Hugh Hallmark, MD

Internal Medicine

NPI 1154317006

2350 MEADOWS BLVD
Castle Rock, CO 80109

(720) 455-3879

✔ PECOS✔ Accepts Medicare0.1 mi

Kristin Heins, FNP-BC, CNM

Certified Nurse Midwife (CNM)

NPI 1457079196

2356 MEADOWS BLVD STE 310B
Castle Rock, CO 80109

(720) 330-1460

✔ PECOS0.1 mi

Elizabeth Wynn, LPC

Mental Health Counselor

NPI 1093670036

2356 MEADOWS BLVD STE 310B
Castle Rock, CO 80109

(720) 330-1460

✔ PECOS✔ Accepts Medicare0.1 mi

Katarzyna Kocol, D.O.

Physical Medicine and Rehabilitation

NPI 1093919235

2360 MEADOWS BLVD STE 200
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts Medicare0.1 mi

Alicia Wesbrook, NP-C

Nurse Practitioner

NPI 1033674767

2360 MEADOWS BLVD STE 200
Castle Rock, CO 80109

(720) 455-3775

✔ PECOS✔ Accepts Medicare0.1 mi

Marco Gomez, MD

Family Practice

NPI 1811171572

2356 MEADOWS BLVD STE 140B
Castle Rock, CO 80109

(303) 218-7774

✔ PECOS✔ Accepts Medicare0.1 mi

Benjamin Katz, MD

Urology

NPI 1639312226

2352 MEADOWS BLVD STE 300
Castle Rock, CO 80109

(303) 649-3710

✔ PECOS✔ Accepts Medicare0.2 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 1235828294. It was assigned to this organization in the NPPES registry on May 4, 2023. The provider is doing business as Adventhealth Medical Group Sports Medicine At Castle Rock. The provider is also known as HealthFit Sports Medicine Castle Rock.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 4350 Limelight Ave Ste 100, Castle Rock, CO 80109. The listed phone number is (720) 330-1390.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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, 12 practice at this address and 96 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 November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.