NPIMap

Complexcare Medical Group Kansas M LLC

Organization Active NPI Internal Medicine Physician · Novi, MI

NPI 1538042338 · NPPES record last updated Mar 31, 2026

Key facts

NPI
1538042338
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
COMPLEXCARE MEDICAL GROUP KANSAS M LLC
Practice address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone
(248) 660-1220
NPI assigned
Jul 29, 2025
Organization subpart
No

Authorized official

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

Practitioners 17

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260220003263 KS Part B Supplier - Clinic/Group Practice 5193206845 Receives reassigned benefits from 14 practitioners
Practice locations: Overland Park, KS; Paola, KS; McPherson, KS; Peabody, KS; Pittsburg, KS; Prairie Village, KS; Pratt, KS; Smith Center, KS…

National Provider Directory

Locations

749 Blake St
Kansas City, KS 66111
Phone (913) 422-5952

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1538042338",
    "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 KANSAS M LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "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

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

Sources for this page

Verify at the official NPI Registry.