NPIMap

Organization Active NPI

Vivo Infusion Colorado, LLC

  • Infusion Therapy Clinic/Center
  • Westminster, CO
National Provider Identifier
1689382277
Registry record updated Jun 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
3013 W 104TH Ave Unit 300
Westminster, CO 80031-2350
Phone
(720) 292-1184
Fax
(303) 379-9244
NPI assigned
Nov 11, 2022
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Mrs. Sue Rottura
Title
Authorized Official
Phone
(855) 478-1528

Specialties & licenses 1

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

Addresses

Primary practice location

3013 W 104TH Ave Unit 300
Westminster, CO 80031-2350

Mailing address

1726 Cole Blvd Ste 250
Lakewood, CO 80401-3262
Phone (615) 796-7891

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
Practice locations: Westminster, CO; Denver, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
06D2272839Vivo Infusion Colorado, LLC3013 W. 104TH Avenue Suite 300, Westminster, CO 80031Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

2425 Canyon Blvd
Boulder, CO 80302

1402 S Parker Rd
Ste A104
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1689382277",
    "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": "615-796-7891",
            "fax_number": "720-996-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 W 104TH AVE UNIT 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312350",
            "telephone_number": "720-292-1184",
            "fax_number": "303-379-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO INFUSION COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-478-1528",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.