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Beacon Medical Group, Inc.

Family Medicine Physician in South Bend, IN · enumerated 2006 · authorized official Jeffrey Costello, Vp-Cfo.

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

National Provider Identifier

1437100161

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 1708 High St, South Bend, IN, 46613
Phone (574) 647-1400
Enumeration date May 15, 2006
Last updated in NPPES Aug 29, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01059718A (IN) Primary

Authorized official

Name Jeffrey Costello
Title Vp-Cfo
Phone (574) 647-3549

Other identifiers

Identifier Type State Issuer
200114230A 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 2016-08-29. 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 2016-08-29.