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DR. MAUREEN ZIBOH M.D.
NPI 1275560583
Family Medicine in Edwardsburg, MI

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
69045 M 62 STE B, EDWARDSBURG, MI 49112(574) 968-4100(574) 968-4125 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Maureen Ziboh M.d. NPPES

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

DR. MAUREEN ZIBOH M.D. (NPI 1275560583) is an individual family medicine provider in Edwardsburg, Michigan, licensed in Indiana (01045545A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1275560583
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAUREEN ZIBOHCredential: M.D.
Location Address69045 M 62 STE BEdwardsburg, MI 49112-9168
Mailing Address69045 M 62 Ste BEdwardsburg, MI 49112-9168 · (574) 968-4100 · Fax (574) 968-4125
Phone(574) 968-4100
Fax(574) 968-4125
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 10, 2018
✔ NPI 1275560583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01045545A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
69045 M 62 STE B, Edwardsburg, MI 49112
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Other Identifiers 3

Other000000532035IN · Anthem
Medicaid200046830AIN
Medicaid200046830IN

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

Dr. Maureen Ziboh M.d. 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 ID9830137421
PECOS Enrollment IDI20050423000060, I20140828001152
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

3

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

Avenue Hematology And Oncology LLC
13 mi
Medical Specialty
54505 26TH ST STE C
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 2 clinicians in this Medicare group
NPI 1942559380 (574) 968-4100
Theoria Medical
123 mi
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan and Indiana enrollments
  • Also billed through NPI 1609362375 (Indiana)
  • 383 clinicians in this Medicare group
NPI 1164186946 (810) 215-7177
Complexcare Medical Group Midwest H PLLC
138 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 29 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220

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 5

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.

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.
39 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
37 services31 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.
30 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
14 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49112 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Maureen Ziboh's NPI number?

The NPI number for Maureen Ziboh is 1275560583. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Maureen Ziboh located?

Maureen Ziboh practices at 69045 M 62 Ste B, Edwardsburg, MI 49112. The listed phone number is (574) 968-4100.

What is Maureen Ziboh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maureen Ziboh enrolled in Medicare?

Yes. Maureen Ziboh 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 Maureen Ziboh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Ziboh reassigns Medicare benefits to 3 organizations: Avenue Hematology And Oncology LLC (South Bend, IN), Theoria Medical (Brighton, MI) and Complexcare Medical Group Midwest H PLLC (Novi, 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 Maureen Ziboh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Ziboh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Maureen Ziboh 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 Maureen Ziboh affiliated with any hospitals?

According to CMS data, Maureen Ziboh is affiliated with Saint Joseph Regional Medical Center, Memorial Hospital Of South Bend, Community Hospital Of Bremen Inc and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Maureen Ziboh was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.