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Beacon Medical Group, Inc.

Radiation Oncology Physician in South Bend, IN · enumerated 2007 · authorized official Jeffrey Costello, Vp-Cfo.

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

National Provider Identifier

1770775009

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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 100, South Bend, IN, 46601
Phone (574) 647-1100
Fax (574) 647-5907
Enumeration date Aug 10, 2007
Last updated in NPPES Apr 28, 2023

Taxonomy & classification

207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians · License 01021173A (IN) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
300046000 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

Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (Vp-Cfo) as the authorized official for this organization.
What is the NPI number for Beacon Medical Group, Inc.?
The NPI for Beacon Medical Group, Inc. is 1770775009, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-28.