NPIMap

Organization Active NPI

Immersiv Health of Colorado, PLLC

  • Infectious Disease Physician
  • Fort Collins, CO
National Provider Identifier
1831914993
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
IMMERSIV HEALTH OF COLORADO, PLLC
Practice address
1075 W Horsetooth Rd Unit 208
Fort Collins, CO 80526-5984
Phone
(877) 551-6650
Fax
(855) 694-4656
NPI assigned
Nov 22, 2024
Organization subpart
Yes
Parent organization
IMMERSIV HEALTH OF COLORADO, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Son Hee Han
Title
Ceo
Phone
(512) 869-9323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1075 W Horsetooth Rd Unit 208
Fort Collins, CO 80526-5984

Mailing address

382 NE 191St St Ste 93920
Miami, FL 33179-3899
Phone (877) 551-6650

Other names 1

  • Immersiv Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Immersiv Health6 organizations share this tax ID, including this one
Part of
Immersiv Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1831914993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST STE 93920",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "877-551-6650",
            "fax_number": "855-694-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W HORSETOOTH RD UNIT 208",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265984",
            "telephone_number": "877-551-6650",
            "fax_number": "855-694-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMERSIV HEALTH OF COLORADO, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMMERSIV HEALTH OF COLORADO, PLLC",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-869-9323"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immersiv Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immersiv Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.