KENNETH GRANKE (MD) – Internal Medicine Physician, NPI 1851338347

KENNETH GRANKE (MD) is a healthcare provider. based in Troy, Michigan. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 4301046290 (MI). The NPI Number for KENNETH GRANKE (MD) is 1851338347

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH GRANKE (MD)
NPI
1851338347
Phone
(248) 952-1601
Address
4967 CROOKS RD
Enumeration Date
1 June 2006
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2486851400
Graduation Year
1982 (44 years ago)
PAC ID
9830139476
Group Practice PAC ID
4183164734
Professional Enrollment ID
I20050503001181
Address ID
MI483803100MI3310XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

242 VASCULAR SURGERY in MI

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Provider Addresses for KENNETH GRANKE (MD)

  • Crooks Road, Troy, Oakland County, Michigan, 48098, United States

    STE 130

    TROY, MI 480985801

    Phone: (248) 952-1601

    Fax: (248) 952-1614

    Type: Mailing

  • 2104, East 11 Mile Road, Warren, Macomb County, Michigan, 48091, United States

    SUITE 600

    WARREN, MI 480916122

    Phone: (734) 464-0887

    Fax: (734) 402-0254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($173).

Total Amount

$277

General + Research + Ownership

Payments

13

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-05-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050503001181IVascular SurgeryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes24527$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less9824$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less8611$0
11042Removal of skin and tissue, 20.0 sq cm or less8525$0
99214Established patient office or other outpatient visit, 30-39 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 48098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183164734View full group profile
NameSpecialtyState
Nurse PractitionerKS
Internal Medicine, HospitalistMO
Nurse PractitionerKS
General Practice, Thoracic Surgery, Vascular SurgeryMI
Nurse PractitionerKS
Nurse PractitionerKS
Geriatric Medicine, Internal MedicineMI
Nurse PractitionerNC
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What unique ID ties claims to KENNETH GRANKE (MD)?
NPI 1851338347 is assigned to KENNETH GRANKE (MD) under the national enumeration system.
Is KENNETH GRANKE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KENNETH GRANKE (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KENNETH GRANKE (MD). Clinical services aligned with this taxonomy classification.
Does KENNETH GRANKE (MD) practice in Michigan?
You will see Troy, Michigan on file for KENNETH GRANKE (MD) alongside any extra practice locations.
How can I contact KENNETH GRANKE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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