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

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: July 19, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

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 - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne 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, 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
Quality98.09
Promoting Interoperability100
Improvement Activities40
Cost65.78

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 12

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

Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC
ST CLAIR SHORES, MI 48081
Nurse Practitioner
28963 LITTLE MACK AVE, STE 101
ST CLAIR SHORES, MI 48081
Anesthesiology
28963 LITTLE MACK AVE, SUITE 103
SAINT CLAIR SHORES, MI 48081
Nurse Practitioner (Acute Care)
28963 LITTLE MACK AVE, 101
SAINT CLAIR SHORES, MI 48081
Clinic/Center (Endoscopy)
28963 LITTLE MACK AVE, SUITE 103
ST CLAIR SHORES, MI 48081
Physician Assistant
28963 LITTLE MACK AVE, SUITE 101
SAINT CLAIR SHORES, MI 48081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467442616, enumerated as an "individual" on October 27, 2005.

The provider is located at 28963 LITTLE MACK AVE GI MEDICINE ASSOCIATES PC SUITE 101 ST CLAIR SHORES, MI 48081 and the phone number is (586) 447-0700.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Ketan Rana is affiliated with: BRONSON METHODIST HOSPITAL, TRINITY HEALTH OAKLAND HOSPITAL, BEAUMONT HOSPITAL - GROSSE POINTE, BEAUMONT HOSPITAL ROYAL OAK and BEAUMONT HOSPITAL, TROY.