KETAN TOLIA (MD) – Internal Medicine Physician, NPI 1710988688
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for KETAN TOLIA (MD)
Providence Parkway, Novi, Oakland County, Michigan, 48374:48393, United States
PMOB#200
NOVI, MI 483741213
Phone: (248) 465-3144
Fax: (248) 465-3146
Type: Mailing
22255, Greenfield Road, Southfield, Oakland County, Michigan, 48075, United States
400
SOUTHFIELD, MI 48075
Phone: (248) 465-4010
Fax: (248) 465-4011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($55).
Total Amount
$156
General + Research + Ownership
Payments
8
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $55 |
| Exact Sciences Corporation | $50 |
| Novo Nordisk Inc | $19 |
| PFIZER INC. | $17 |
| Lilly USA, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071115000196 | I | Internal Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 404 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 81 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 37 | 21 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 20 | $0 |
Insurance plans in this area (ZIP 48374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | ME | |
| Internal Medicine | MI | |
| E N D O C R I N O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Internal Medicine | MI |
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