Organization Active NPI

Vivo Infusion Colorado, LLC

  • Infusion Therapy Clinic/Center
  • Denver, CO
National Provider Identifier
1114778289
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
VIVO INFUSION COLORADO, LLC
Practice address
1402 S Parker Rd # Atea-104
Denver, CO 80231-2758
Phone
(855) 478-1528
NPI assigned
Mar 28, 2024
Organization subpart
Yes
Parent organization
VIVO INFUSION COLORADO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Ellen Rottura
Title
Chief Operating Officer
Phone
(561) 323-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1402 S Parker Rd # Atea-104
Denver, CO 80231-2758

Mailing address

1726 Cole Blvd Ste 250
Lakewood, CO 80401-3262
Phone (855) 478-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217001030 CO Part B Supplier - Clinic/Group Practice 2769854884 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westminster, CO; Denver, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2302531Vivo Infusion Colorado, LLC1402 S Parker Rd, Suite a-104, Denver, CO 80231Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory
Part of
Vivo Infusion Colorado LLC

Locations

1402 S Parker Rd
Ste A104
Denver, CO 80231

1402 S Parker Rd
#104
Denver, CO 80231

3013 W 104th Ave
Unit 300
Westminster, CO 80031
Phone (720) 292-1184

10398 Reed St
Unit 300B
Westminster, CO 80021
Phone (561) 323-8987

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1114778289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013262",
            "telephone_number": "855-478-1528",
            "fax_number": "972-598-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S PARKER RD # ATEA-104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312758",
            "telephone_number": "855-478-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO INFUSION COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVO INFUSION COLORADO, LLC",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.