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DR. ZIYA TOPER M.D.
NPI 1245224526
Pediatrics in South Bend, IN

Active since September 01, 2005PECOS Enrolled
6301 UNIVERSITY COMMONS, SUITE 320, SOUTH BEND, IN 46635(574) 271-7337(574) 367-3733 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ziya Toper M.d. NPPES

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

DR. ZIYA TOPER M.D. (NPI 1245224526) is an individual pediatrics provider in South Bend, Indiana, licensed in Indiana (01052924A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245224526
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ZIYA TOPERCredential: M.D.
Location Address6301 UNIVERSITY COMMONS, SUITE 320South Bend, IN 46635-1571
Mailing Address6301 University Commons, Suite 230South Bend, IN 46635-1571 · (574) 251-2100
Phone(574) 271-7337
Fax(574) 367-3733
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateNovember 3, 2014
✔ NPI 1245224526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01052924A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6301 UNIVERSITY COMMONS, South Bend, IN 46635
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Other Identifiers 3

Medicare UPINH26197IN
Medicaid200296490AIN
Medicare ID-Type Unspecified113150KKKKIN · Ztoper

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 (PECOS)

Dr. Ziya Toper M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ziya Toper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The South Bend Clinic LLC
3.4 mi
Clinic/Center
211 N EDDY ST
South Bend, IN 46617
  • Reassigned Medicare billing, Indiana enrollment
  • 211 clinicians in this Medicare group
NPI 1073680419 (574) 299-2450

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 20

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

ALLIED PHYSICIANS OF MICHIANA
Obstetrics & Gynecology
6301 UNIVERSITY COMMONS, SUITE 230
SOUTH BEND, IN 46635
St. Joseph County (574) 251-2100
KELLY WAYNE MCGUIRE M.D.
Obstetrics & Gynecology
6301 UNIVERSITY COMMONS, SUITE 310
SOUTH BEND, IN 46635
St. Joseph County (574) 232-1471
ALLIED PHYSICIANS OF MICHIANA, LLC
Orthopaedic Surgery
6301 UNIVERSITY COMMONS, SUITE 100
SOUTH BEND, IN 46635
St. Joseph County (574) 247-4667
JACQUELINE LEE HENRY APRN-NP
Nurse Practitioner (Family)
6301 UNIVERSITY COMMONS
SOUTH BEND, IN 46635
St. Joseph County (574) 251-1210
DONALD W SMITH MD
Specialist
6301 UNIVERSITY COMMONS
SOUTH BEND, IN 46635
St. Joseph County (574) 234-4016
KATHRYN L. WERDA MSPT, DPT, OCS
Physical Therapist (Orthopedic)
6301 UNIVERSITY COMMONS, SUITE 430
SOUTH BEND, IN 46635
St. Joseph County (574) 968-8251
DR. NATALIE FAY WEBSTER DO
Family Medicine
6301 UNIVERSITY COMMONS
SOUTH BEND, IN 46635
St. Joseph County (574) 232-1471
DARAH JEAN REGAL AU.D.
Audiologist
6301 UNIVERSITY COMMONS, NULL
SOUTH BEND, IN 46635
St. Joseph County (574) 234-8161

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 Ziya Toper's NPI number?

The NPI number for Ziya Toper is 1245224526. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Ziya Toper located?

Ziya Toper practices at 6301 University Commons Suite 320, South Bend, IN 46635. The listed phone number is (574) 271-7337.

What is Ziya Toper's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ziya Toper enrolled in Medicare?

Yes. Ziya Toper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ziya Toper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ziya Toper reassigns Medicare benefits to The South Bend Clinic LLC (South Bend, IN). The 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 Ziya Toper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ziya Toper accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ziya Toper 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.

When was this NPI record last updated?

The NPPES record for Ziya Toper was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.