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Beacon Medical Group, Inc.

Adult Health Nurse Practitioner in South Bend, IN · enumerated 2013 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1518302264

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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, Suite 602, South Bend, IN, 46601
Phone (574) 647-7413
Fax (574) 647-2471
Enumeration date May 8, 2013
Last updated in NPPES Aug 30, 2016

Taxonomy & classification

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71001587A (IN) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
201164630A 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

What is the NPI number for Beacon Medical Group, Inc.?
The NPI for Beacon Medical Group, Inc. is 1518302264, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-30.