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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1417569922
Internal Medicine in Littleton, CO

Active since August 18, 2020
7780 S BROADWAY STE 150, LITTLETON, CO 80122(303) 347-9897(303) 347-9912 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Dec 18, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2020).

About Portercare Adventist Health System NPPES

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

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1417569922), doing business as Adventhealth Medical Group Primary Care At Littleton, is a healthcare organization registered as an internal medicine in Littleton, Colorado and active in the NPI registry since August 2020. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1417569922
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address7780 S BROADWAY STE 150Littleton, CO 80122-2641
Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104 · Fax (303) 765-6670
Phone(303) 347-9897
Fax(303) 347-9912
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateAugust 18, 2020
Last NPPES UpdateAugust 14, 20264 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1417569922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7780 S BROADWAY STE 150, Littleton, CO 80122
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Other Names 2

Doing Business AsAdventhealth Medical Group Primary Care At Littleton
Doing Business AsSsim S Suburban Int Md

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, 22 practice at this address and 318 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
Gary Allen, M.D.
Thoracic Surgery
NPI 1154327872
7780 S BROADWAY STE 170
Littleton, CO 80122
(303) 269-2920
✔ PECOS✔ Accepts MedicareSame address
Wissam Asfahani, M.D.
Neurosurgery
NPI 1205080892
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Aubrey Bruss, FNP-C
Nurse Practitioner
NPI 1639887821
7780 S BROADWAY
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Samuel Destefano, MD
Neurology
NPI 1114260619
7780 S BROADWAY STE 350
Littleton, CO 80122
(303) 730-4400
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Milliken, MD
Cardiac Surgery
NPI 1033299292
7780 S BROADWAY STE 170
Littleton, CO 80122
(303) 269-2920
✔ PECOS✔ Accepts MedicareSame address
John Prall, M.D.
Neurosurgery
NPI 1316975832
7780 S BROADWAY SUITE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Kate Setter, FNP-C
Nurse Practitioner
NPI 1992316640
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Dustin Spirgen, MD
Family Practice
NPI 1144757238
7780 S BROADWAY STE 150
Littleton, CO 80122
(303) 347-9897
✔ PECOS✔ Accepts MedicareSame address
Patricia Treft, LPC
Mental Health Counselor
NPI 1124699673
7780 S BROADWAY STE 300
Littleton, CO 80122
(970) 852-4801
✔ PECOS✔ Accepts MedicareSame address
Karen Hashemi, CNM
Certified Nurse Midwife (CNM)
NPI 1851719926
7780 S BROADWAY STE 280
Littleton, CO 80122
(303) 738-1100
✔ PECOS✔ Accepts MedicareSame address
Richard Adamson, FNP
Nurse Practitioner
NPI 1760806673
7780 S BROADWAY
Littleton, CO 80122
(303) 730-8900
✔ PECOS✔ Accepts MedicareSame address
Angela Bohnen, MD
Neurosurgery
NPI 1811289523
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Abhijeet Gummadavelli, MD
Neurosurgery
NPI 1295113405
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Jamie Henry, NP
Nurse Practitioner
NPI 1104295104
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Erasmus Morfe, D.O.
Physical Medicine and Rehabilitation
NPI 1467545137
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 996-1260
✔ PECOS✔ Accepts MedicareSame address
Jason Peragine, M.D.
Physical Medicine and Rehabilitation
NPI 1396716395
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Jamie Pollack, PSY.D.
Clinical Psychologist
NPI 1700967668
7780 S BROADWAY STE 340
Littleton, CO 80122
(303) 730-4400
✔ PECOS✔ Accepts MedicareSame address
Esther Yoon, MD
Physical Medicine and Rehabilitation
NPI 1164873758
7780 S BROADWAY STE 350
Littleton, CO 80122
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Michael Coady, MD
Thoracic Surgery
NPI 1427094267
7780 S BROADWAY STE 170
Littleton, CO 80122
(303) 269-2920
✔ PECOS✔ Accepts MedicareSame address
Kevin Miller, M.D.
Thoracic Surgery
NPI 1679579551
7780 S BROADWAY STE 170
Littleton, CO 80122
(303) 269-2920
✔ PECOS✔ Accepts MedicareSame address
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 1417569922. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as AdventHealth Medical Group Primary Care at Littleton and Ssim S Suburban Int MD.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 7780 S Broadway Ste 150, Littleton, CO 80122. The listed phone number is (303) 347-9897.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 22 practice at this address and 318 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 August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.