Complexcare Medical Group Mountain West H PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMPLEXCARE MEDICAL GROUP MOUNTAIN WEST 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

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

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, MT2 enrollments

Enrollment records 2

Practitioners 5

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.

• Martin Schiffert, MD

  • Family Medicine Physician
  • Billings, MT
  • NPI 1609819259
  Medicare reassignment NPD
• Baxter Stewart

  • Family Nurse Practitioner
  • Littleton, CO
  • NPI 1306676838
  Medicare reassignment NPD
• Gail Anne Wissenbach, NP

  • Nurse Practitioner
  • Butte, MT
  • NPI 1700631132
  Medicare reassignment NPD
• Vanessa Nicole Dawson, PA

  • Physician Assistant
  • Novi, MI
  • NPI 1477521383

  MT

  Medicare reassignment
• Xiao Song, MD

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1699392449
  NPD

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": "1265326417",
    "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 MOUNTAIN WEST 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": []
}

• Complexcare Medical Group Kansas H LLC
• Complexcare Medical Group Kansas M LLC
• Complexcare Medical Group Mid-Atlantic H PLLC
• Complexcare Medical Group Midwest H PLLC
• Complexcare Medical Group Midwest M PLLC
• Complexcare Medical Group Northeast H PLLC
• Complexcare Medical Group Southeast H PLLC
• Complexcare Medical Group Southwest H PLLC
• Compone Administrators, Inc (Specialized Contract Administrators)
• Comprehensive Medical Practice PC

• Internal Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Internal Medicine Physician in Michigan

• 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.