Individual provider Active NPI

Lama Sobh

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1225907405
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704328644 Issued in MI
Practice address
100 E Michigan Ave
Jackson, MI 49201-1498
Phone
(833) 578-2763
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704328644 MI Primary

Addresses

Primary practice location

100 E Michigan Ave
Jackson, MI 49201-1498

Mailing address

41452 Singh Dr
Canton, MI 48188-2645
Phone (313) 485-2519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125004588 MI Practitioner - Nurse Practitioner 8123510237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

10735 Bogie Lake Rd
Commerce Township, MI 48382-2426
Phone (248) 363-9400

313 Sherwood St
Holly, MI 48442-1232
Phone (248) 577-2632

41795 W 12 Mile Rd
Novi, MI 48377-3107
Phone (248) 533-0222

6700 W Outer Dr
Detroit, MI 48235-2724
Phone (313) 836-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704328644MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 15, 2025 Accepting new patients
Theoria Medical CurrentSince Sep 22, 2025 Accepting new patients
Theoria Medical Past Accepting new patients
Complexcare Medical Group Midwest H PLLC Past Accepting new patients

Locations (25 of 30)

1167 E Hopson St
Bad Axe, MI 48413
Phone (989) 269-9983

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

47901 Sugarbush Rd
Chesterfield, MI 48047
Phone (586) 210-7101

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

512 Beach St
Fenton, MI 48430
Phone (810) 629-4117

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

5370 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 344-6839

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

703 Robinson Rd
Jackson, MI 49203
Phone (517) 787-0722

2525 Demille Blvd
Lapeer, MI 48446
Phone (313) 590-9170

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

41795 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 449-1655

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

24500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2000

22700 Greater Mack Ave
St Clair Shrs, MI 48080
Phone (586) 443-4910

951 Hickory Creek Dr
Temperance, MI 48182
Phone (734) 206-8200

2685 W Maple Rd
Troy, MI 48084
Phone (248) 262-2357

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1225907405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41452 SINGH DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882645",
            "telephone_number": "313-485-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011498",
            "telephone_number": "833-578-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBH",
        "first_name": "LAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704328644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.