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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1942165626
Urology in Lakewood, CO

Active since December 16, 2025
12596 W BAYAUD AVE STE 100, LAKEWOOD, CO 80228(303) 825-8822(303) 825-4022 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 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 1942165626), doing business as Adventhealth Medical Group Urology At Lakewood, is a healthcare organization registered as an urology in Lakewood, Colorado and active in the NPI registry since December 2025. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1942165626
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address12596 W BAYAUD AVE STE 100Lakewood, CO 80228-2035
Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104
Phone(303) 825-8822
Fax(303) 825-4022
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1942165626 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.
12596 W BAYAUD AVE STE 100, Lakewood, CO 80228
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Other Names 1

Doing Business AsAdventhealth Medical Group Urology At Lakewood

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 157 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
Joshua Beckman, MD
Neurosurgery
NPI 1558686113
12596 W BAYAUD AVE STE 100
Lakewood, CO 80228
(720) 638-7500
✔ PECOS✔ Accepts MedicareSame address
Tessa Henderson, NP
Nurse Practitioner
NPI 1033558101
12596 W BAYAUD AVE STE 100
Lakewood, CO 80228
(303) 649-3050
✔ PECOS✔ Accepts MedicareSame address
Randall Allison, M.D.
Neurosurgery
NPI 1245627835
11750 W 2ND PL STE 255
Lakewood, CO 80228
(720) 321-8040
✔ PECOS✔ Accepts Medicare0.4 mi
Elizabeth Ceilley, M.D.
Radiation Oncology
NPI 1629016100
11750 W 2ND PL STE 150
Lakewood, CO 80228
(720) 321-8800
✔ PECOS✔ Accepts Medicare0.4 mi
Kellie Costanza, FNP
Nurse Practitioner
NPI 1689229825
11750 W 2ND PL STE 255
Lakewood, CO 80228
(720) 321-8040
✔ PECOS✔ Accepts Medicare0.4 mi
Laura Friedlander, MD
Neurology
NPI 1578852042
11750 W 2ND PL STE 255
Lakewood, CO 80228
(720) 321-8040
✔ PECOS✔ Accepts Medicare0.4 mi
Lloyd Mobley, M.D.
Neurosurgery
NPI 1962501932
11750 W 2ND PL STE 255
Lakewood, CO 80228
(720) 638-7500
✔ PECOS✔ Accepts Medicare0.4 mi
John Hudson, MD
Neurosurgery
NPI 1184634537
11750 W 2ND PL STE 255
Lakewood, CO 80228
(720) 321-8040
✔ PECOS✔ Accepts Medicare0.6 mi
Kendell Bennion
Internal Medicine
NPI 1972755064
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.6 mi
Dawn Eldridge, ANP
Nurse Practitioner
NPI 1225258502
11700 W 2ND PL STE 255
Lakewood, CO 80228
(303) 661-4100
✔ PECOS✔ Accepts Medicare0.6 mi
Monique Fox, MD
Diagnostic Radiology
NPI 1952433641
11700 W 2ND PL STE 100
Lakewood, CO 80228
(720) 321-8230
✔ PECOS✔ Accepts Medicare0.6 mi
Sujata Fretz, MD
Hospitalist
NPI 1093821795
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.6 mi
Marchyarn Mahathanaruk, D.O.
Anesthesiology
NPI 1265674287
11700 W 2ND PL STE 225
Lakewood, CO 80228
(303) 661-4100
✔ PECOS✔ Accepts Medicare0.6 mi
Robert Mcclay, MD
Hospitalist
NPI 1972570554
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.6 mi
Eamonn Quinn, MD
Diagnostic Radiology
NPI 1104115732
11700 W 2ND PL
Lakewood, CO 80228
(720) 321-8230
✔ PECOS✔ Accepts Medicare0.6 mi
Tracy Stiller, MD
Hospitalist
NPI 1467424259
11650 W 2ND PL
Lakewood, CO 80228
(720) 321-5200
✔ PECOS✔ Accepts Medicare0.6 mi
Eric Yoder, MD
Internal Medicine
NPI 1205270733
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.6 mi
Ashley Mckillop, NP
Nurse Practitioner
NPI 1851885446
355 UNION BLVD STE 200
Lakewood, CO 80228
(303) 463-3900
✔ PECOS✔ Accepts Medicare0.7 mi
Kathryn Dunham Coughlin, PSYD
Clinical Psychologist
NPI 1972861532
11750 W 2ND PL
Lakewood, CO 80228
(720) 321-8040
✔ PECOS✔ Accepts Medicare1.1 mi
Theodore Ning, MD
Urology
NPI 1720172059
400 INDIANA ST SUITE 300
Golden, CO 80401
(303) 885-2550
✔ PECOS✔ Accepts Medicare1.4 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 1942165626. It was assigned to this organization in the NPPES registry on December 16, 2025. The provider is doing business as AdventHealth Medical Group Urology at Lakewood.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228. 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 157 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 December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.