NPIMap

Organization Active NPI

Complexcare Medical Group Southeast H PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1083508238
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPLEXCARE MEDICAL GROUP SOUTHEAST H PLLC
Practice address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone
(248) 660-1220
NPI assigned
Jun 4, 2025
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Svetlana Vinokur
Title
Cfo
Phone
(847) 275-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Mailing address

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (248) 660-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250919004271 LA Part B Supplier - Clinic/Group Practice 9830693993 Receives reassigned benefits from 4 practitioners
Practice locations: Sulphur, LA; Shreveport, LA; Lake Charles, LA
O20250927000363 GA Part B Supplier - Clinic/Group Practice 9830693993 Receives reassigned benefits from 29 practitioners
Practice locations: Twin City, GA; Tucker, GA; Tifton, GA; Savannah, GA; Roberta, GA; Quitman, GA; Macon, GA; Lagrange, GA…
O20251013001399 FL Part B Supplier - Clinic/Group Practice 9830693993 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Walton Beach, FL; Naples, FL; Niceville, FL; Sarasota, FL; Tarpon Springs, FL

National Provider Directory

National Provider Directory

Locations

515 Village Pl
Longwood, FL 32779
Phone (407) 682-0230

3840 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 607-3600

2481 W US 90
Madison, FL 32340
Phone (850) 877-4115

101 Hartford Rd E
Fort Gaines, GA 39851

604 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 355-3000

1901 W Screven St
Quitman, GA 31643
Phone (229) 263-6100

6711 La Roche Ave
Savannah, GA 31406
Phone (912) 354-8225

41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1083508238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "248-660-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "248-660-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXCARE MEDICAL GROUP SOUTHEAST H PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "VINOKUR",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-275-9504"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.