Ketan Tolia, MD
NPI 1710988688 · Internal Medicine Physician · Southfield, MI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Tolia, MD is a Internal Medicine Physician provider in Southfield, MI (NPI 1710988688).
Provider details
- NPI number
- 1710988688
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301054022 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
877 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 334 | $95 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 288 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $64 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 33 | $117 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $114 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 119 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 698 | 208 |
| Amlodipine Besylate | 603 | 168 |
| Levothyroxine Sodium | 439 | 111 |
| Carvedilol | 371 | 107 |
| Lisinopril | 340 | 87 |
| Metformin Hclbrand: Metformin Hcl Er | 251 | 76 |
| Ezetimibe | 245 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$103 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2013-08-13
Frequently asked questions
- What is Ketan Tolia's NPI number?
- Ketan Tolia's National Provider Identifier (NPI) is 1710988688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketan Tolia's specialty?
- Ketan Tolia is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketan Tolia located?
- Ketan Tolia's practice location on file with NPPES is 22255 Greenfield, Southfield, MI 48075.
- What is Ketan Tolia's phone number?
- The practice phone number listed in the NPPES registry for Ketan Tolia is (248) 465-4010.
- Does Ketan Tolia accept Medicare?
- Ketan Tolia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketan Tolia's NPI active?
- Yes — Ketan Tolia's NPI (1710988688) is active in the NPPES registry as of the last update on 2013-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.