Ketan Tolia, MD
Internal Medicine Physician · Southfield, MI
Ketan Tolia, MD is an internal medicine physician with a practice address in Southfield, Michigan, and NPI 1710988688, issued on Aug 2, 2005. Check the license (Michigan 4301054022, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Ketan Tolia
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 4301054022 MI
Self-reported in NPPES; status is on the state search - Practice location
- 22255 Greenfield, Southfield, MI 48075
- Phone
- (248) 465-4010
- Enumerated
- Aug 2, 2005
- Record last updated
- Aug 13, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (248) 465-4011
- Medicaid ID
- 447791910 MI
- Medicare enrollment
- Enrolled (PECOS I20071115000196); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 5,735 in Michigan → Look up another NPI →
Also registered at 22255 Greenfield
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Kingsley, PTAPhysical Therapy Assistant1245739200
Verify Ketan Tolia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301054022Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.2 times the Medicare Part D claims of the average internal medicine physician in 2024
10,107 Medicare Part D claims for 555 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 106 claims were for opioids.
Most prescribed
- Atorvastatin Calcium698 claims
- Amlodipine Besylate603 claims
- Levothyroxine Sodium439 claims
- Carvedilol371 claims
- Lisinopril340 claims
- Metformin Hcl Er251 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $103.49
6 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Henry Ford Health Providence HospitalSouthfield, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ketan Tolia among 5,735 internal medicine physician records in Michigan
Ketan Tolia, MD is one of 5,735 internal medicine physician records with a practice address in Michigan. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1986 · median 2006 among the 3,564 with a school on file
- Record last updated2013 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
200 internal medicine physician records list a practice address in Southfield
They are 200 of the 5,689 NPPES records with a practice address in Southfield, and 5,735 internal medicine physician records in Michigan.
All 5,735 in Michigan → Every provider in Southfield → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
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- Nagashree Chandrashekar, MDSouthfield, MI 480751821092750
- Peggy Cheng, MDSouthfield, MI 480751760467104
- Ted Coy, MDSouthfield, MI 480751740273069
- Leonard Ellison, MDSouthfield, MI 480751679575328
- John Frownfelter, MDSouthfield, MI 480751548268626
- Houston Johnson, MDSouthfield, MI 480751245238872
- Athanasius Lobo, M.D.Southfield, MI 480751295719896
Common questions
What is Ketan Tolia, MD's NPI number?
Ketan Tolia, MD's National Provider Identifier (NPI) is 1710988688, issued on Aug 2, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Ketan Tolia, MD located?
The NPPES record lists a practice address at 22255 Greenfield, Southfield, MI, 48075. Phone: (248) 465-4010. Providers update this record themselves, so call before visiting.
How can I verify Ketan Tolia, MD's license?
NPPES lists Michigan license number 4301054022, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ketan Tolia, MD prescribe under Medicare Part D?
In 2024, Ketan Tolia, MD had 10,107 Medicare Part D claims for 555 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Ketan Tolia, MD's MIPS final score?
The 2023 MIPS final score is 80.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.