Doctor profile · Federal record
Dr. Ketan Tolia, MD
Internal Medicine Physician (CMS: Internal Medicine) · Southfield, MI
- NPI 1710988688
- Accepts Medicare
- MIPS 80.5 / 100 · 2023
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
22255 Greenfield, 400
Southfield, MI 48075
(248) 465-4010
fax (248) 465-4011 - Mailing address
-
26850 Providence Pkwy, Pmob#200
Novi, MI 483741213
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- August 13, 2013
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Michigan #4301054022
- Medicaid
- MI #447791910
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710988688. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
651
Distinct HCPCS
10
Medicare allowed
$54,513
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 360 | 142 | $101 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 83 | 58 | $68 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 44 | 36 | $105 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 37 | 21 | $35 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 29 | 23 | $66 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $133 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 20 | $8 | |
G0008 |
Administration of influenza virus vaccine | 20 | 20 | $30 | |
83036 |
Hemoglobin a1c level | 18 | 15 | $6 | |
90674 |
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 12 | 12 | $33 |
In context: peer comparison
Among 64 peers in Southfield Internal Medicine Physician, average services per provider: 113. This provider delivers 5.8× the peer median.Open Payments
Industry payments received
All-time total
$103
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 3 | $55.02 | |
| Pfizer INC. | 1 | $17.19 | |
| Exact Sciences Corporation | 1 | $16.10 | |
| Lilly USA, LLC | 1 | $15.18 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,605
Patients
1,350
Total drug cost
$89,087
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 693 | 205 | $13,673 |
| Amlodipine Besylate | Generic | 621 | 171 | $7,651 |
| Levothyroxine Sodium | Generic | 444 | 117 | $8,359 |
| Carvedilol | Generic | 362 | 109 | $6,258 |
| Lisinopril | Generic | 358 | 97 | $4,688 |
| Losartan Potassium | Generic | 313 | 94 | $7,229 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 275 | 81 | $4,789 |
| Allopurinol | Generic | 219 | 62 | $4,228 |
| Rosuvastatin Calcium | Generic | 213 | 59 | $5,875 |
| Simvastatin | Generic | 196 | 61 | $2,671 |
Hospital affiliations
Frequently asked questions
What is Dr. Ketan Tolia's medical specialty?
Dr. Ketan Tolia practices Internal Medicine Physician in Southfield, MI.
Where does Dr. Ketan Tolia practice?
Dr. Ketan Tolia practices at 22255 Greenfield, Southfield, MI 48075. Office phone: 2484654010.
What is Dr. Ketan Tolia's NPI?
Dr. Ketan Tolia's National Provider Identifier (NPI) is 1710988688, issued by NPPES.
Does Dr. Ketan Tolia accept Medicare assignment?
Yes. Dr. Ketan Tolia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ketan Tolia commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.