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Beacon Medical Group, Inc.

Maternal & Fetal 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

1710939608

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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 4410, South Bend, IN, 46601
Phone (574) 647-6370
Fax (574) 647-6373
Enumeration date May 17, 2006
Last updated in NPPES Feb 10, 2026

Taxonomy & classification

170300000X Genetic Counselor (M.S.) Other Service Providers Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207VM0101X Maternal & Fetal Medicine Physician Allopathic & Osteopathic Physicians · License 01053966A (IN) Primary
2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
300125576 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

Where is Beacon Medical Group, Inc. located?
The practice location on file with NPPES is in South Bend, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-10.