KETAN G RANA MD
NPI 1467442616
Internal Medicine - Gastroenterology in St Clair Shores, MI

Q: What is Ketan Rana's NPI number?

The NPI number for Ketan Rana is 1467442616. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Q: What is Ketan Rana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Rana was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment

90.34/100

CMS Quality Rating

28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101, ST CLAIR SHORES, MI 48081(586) 447-0700(586) 498-0707 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Jul 19, 2022, Jan 30, 2020 (3 updates tracked since 2020).

On this page

About Ketan G Rana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAN G RANA MD (NPI 1467442616) is an individual gastroenterology provider in St Clair Shores, Michigan, licensed in Michigan (4301066770) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467442616

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameKETAN G RANACredential: MD

Location Address28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101St Clair Shores, MI 48081-3015

Mailing Address1695 12 Mile Rd, Ste 220Berkley, MI 48072-2100 · (248) 545-6100 · Fax (248) 545-6102

Phone(586) 447-0700

Fax(586) 498-0707

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateOctober 27, 2005

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1467442616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MI · 4301066770

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

28963 LITTLE MACK AVE, St Clair Shores, MI 48081

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13535 W 13 Mile Rd Ste LlRoyal Oak, MI 48073-6770 · Phone (248) 551-3000

Location 23304 Cooley CtPortage, MI 49024-7430 · Phone (269) 349-2266

Other Identifiers 4

Medicaid336774310MI

Other9630967001Cigna

OtherP63114Bcn

Other5323513Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ketan G Rana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335141001

PECOS Enrollment IDI20100923000062

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ketan Rana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastrointestinal Specialists PC

13 mi

Gastroenterology

264 W MAPLE RD, #200
Troy, MI 48084

Reassigned Medicare billing, Michigan enrollment
17 clinicians in this Medicare group

NPI 1780750125 (248) 273-9930

Beaumont Medical Group- Specialty Services

14 mi

Surgery

3601 W 13 MILE RD
Royal Oak, MI 48073

Reassigned Medicare billing, Michigan enrollment
1,030 clinicians in this Medicare group

NPI 1578072906 (248) 898-5000

Bronson Methodist Hospital

138 mi

Hospitalist

601 JOHN STREET
Kalamazoo, MI 49007

Reassigned Medicare billing, Michigan enrollment
1,133 clinicians in this Medicare group

NPI 1417961137 (269) 341-7654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

147 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

138 services86 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

99 services97 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

94 services77 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

71 services70 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

52 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services32 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

34 services34 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services18 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

11 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230029

Location44405 Woodward AvePontiac, MI 48341 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.09

Promoting Interoperability

100

Improvement Activities

Cost

65.78

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

23%207 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%708 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

74%323 patients3/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%155 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%155 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUDHANSHU PATEL MD

Internal Medicine (Gastroenterology)

28963 LITTLE MACK AVE, SUITE 101
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

KIANNA MICHELLE LYONS NP

Nurse Practitioner (Acute Care)

28963 LITTLE MACK AVE, 101
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

GI MEDICAL ASSOC PC

Internal Medicine (Gastroenterology)

28963 LITTLE MACK AVE, SUITE 101
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

EASTSIDE GROUP LLC

Anesthesiology

28963 LITTLE MACK AVE, SUITE 103
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-5110

IRENA ZALEWSKA MD

Internal Medicine (Gastroenterology)

28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

EASTSIDE ASSOCIATES, LLC

Clinic/Center (Endoscopy)

28963 LITTLE MACK AVE, SUITE 103
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5110

VALIYA V RAVI MD

Internal Medicine (Gastroenterology)

28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

VASILIOS POZIOS MD

Internal Medicine (Gastroenterology)

28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketan Rana's NPI number?

The NPI number for Ketan Rana is 1467442616. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Ketan Rana located?

Ketan Rana practices at 28963 Little Mack Ave Gi Medicine Associates PC Suite 101, St Clair Shores, MI 48081. The listed phone number is (586) 447-0700.

What is Ketan Rana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ketan Rana enrolled in Medicare?

Yes. Ketan Rana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ketan Rana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketan Rana reassigns Medicare benefits to 3 organizations: Gastrointestinal Specialists PC (Troy, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Bronson Methodist Hospital (Kalamazoo, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ketan Rana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketan Rana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ketan Rana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ketan Rana affiliated with any hospitals?

According to CMS data, Ketan Rana is affiliated with Bronson Methodist Hospital, Trinity Health Oakland Hospital, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Ketan Rana was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.