NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Beacon Medical Group, Inc.

Gynecologic Oncology Physician in South Bend, IN · enumerated 2015 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1821482431

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Parent organization Beacon Health System, Inc.
Practice address 100 Navarre Pl Ste 4470, South Bend, IN, 46601
Phone (574) 647-4230
Fax (574) 647-4235
Enumeration date Mar 20, 2015
Last updated in NPPES Apr 28, 2023

Taxonomy & classification

207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
201285860A 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.

Read the full guide → Validate an NPI →

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 2023-04-28. 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

Browse all →

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