Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beacon Medical Group, Inc.

Trauma Surgery Physician in South Bend, IN · enumerated 2014 · authorized official Jeffrey Costello, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174927131

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Medical Group, Inc.

Other name <Unavail>

Practice address 621 Memorial Dr Ste 502, South Bend, IN, 46601

Phone (574) 647-5875

Fax (574) 647-5878

Enumeration date Oct 20, 2014

Last updated in NPPES Apr 24, 2023

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Primary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jeffrey Costello

Title Cfo

Phone (574) 647-3549

Other identifiers

Identifier	Type	State	Issuer
200921930E	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-04-24. Verify at npiregistry.cms.hhs.gov.

Where is Beacon Medical Group, Inc. located?

The practice location on file with NPPES is in South Bend, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-24.