NPIMap

Organization Active NPI

Complexcare Medical Group Mid-Atlantic H PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1275427429
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 MID-ATLANTIC 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 Physician 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 KY, TN, DC, NC, VA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20250929002413 KY Part B Supplier - Clinic/Group Practice 6709382831 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20251002001541 TN Part B Supplier - Clinic/Group Practice 6709382831 Receives reassigned benefits from 17 practitioners
Practice locations: Blountville, TN; Tiptonville, TN; Spring Hill, TN; Murfreesboro, TN; Millington, TN; Memphis, TN; Knoxville, TN; Humboldt, TN…
O20251118004314 DC Part B Supplier - Clinic/Group Practice 6709382831 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA
O20251210000400 NC Part B Supplier - Clinic/Group Practice 6709382831 Receives reassigned benefits from 58 practitioners
Practice locations: Jefferson, NC; Kinston, NC; Lincolnton, NC; Matthews, NC; Mebane, NC; Mint Hill, NC; New Bern, NC; Pinehurst, NC…
O20260303002965 VA Part B Supplier - Clinic/Group Practice 6709382831 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

300 Shelby Station Dr
Louisville, KY 40245
Phone (502) 254-0009

41800 W 10 Mile Rd
Ste 109
Novi, MI 48375

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

308 W Meadowview Rd
Greensboro, NC 27406
Phone (336) 230-0534

110 McCotter Blvd
Havelock, NC 28532
Phone (252) 444-4631

804 S Long Dr
Rockingham, NC 28379
Phone (910) 997-4493

1304 SE Second St
Snow Hill, NC 28580
Phone (252) 747-8126

345 Compton Rd
Murfreesboro, TN 37130
Phone (615) 579-2772

Practitioners & affiliated clinicians

Practitioners 78

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 78

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": "1275427429",
    "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 MID-ATLANTIC 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": "",
            "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.