Complexcare Medical Group Mountain West H PLLC

Key facts

NPI: 1265326417
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 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
Organization subpart: No

Authorized official

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Martin Schiffert, MD Family Medicine Physician · Billings, MT · NPI 1609819259

Medicare reassignment NPD MT
Baxter Stewart Family Nurse Practitioner · Littleton, CO · NPI 1306676838

Medicare reassignment NPD CO
Gail Anne Wissenbach, NP Nurse Practitioner · Butte, MT · NPI 1700631132

Medicare reassignment NPD MT
Vanessa Nicole Dawson, PA Physician Assistant · Novi, MI · NPI 1477521383

Medicare reassignment MT
Xiao Song, MD Internal Medicine Physician · Denver, CO · NPI 1699392449

NPD INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in CO, MT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20251023003645	CO	Part B Supplier - Clinic/Group Practice	2567950231	Receives reassigned benefits from 1 practitioner Practice locations: Grand Junction, CO; Montrose, CO
O20251024003097	MT	Part B Supplier - Clinic/Group Practice	2567950231	Receives reassigned benefits from 3 practitioners Practice locations: Butte, MT; Glendive, MT; Kalispell, MT

National Provider Directory

Locations

1401 S Cascade Ave
Montrose, CO 81401
Phone (970) 249-9634

65 Veterans Cir
Butte, MT 59701
Phone (406) 792-3000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X			Yes

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

Other providers in Novi, MI

All providers in Novi, MI · Internal Medicine Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.