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Beacon Medical Group, Inc.

Pediatrics Physician in South Bend, IN · enumerated 2008 · authorized official Jeffrey Costello, Vice President/Cfo.

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

National Provider Identifier

1548415474

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 100 Navarre Pl Ste 5550, South Bend, IN, 46601
Fax (574) 647-1129
Enumeration date Nov 19, 2008
Last updated in NPPES Jul 21, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 01065535A (IN) Primary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2080P0214X Pediatric Pulmonology Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeffrey Costello
Title Vice President/Cfo

Other identifiers

Identifier Type State Issuer
200928880A Medicaid IN -
300069919 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 1548415474, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (Vice President/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 2025-07-21.