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Beacon Medical Group, Inc.

Neurological Surgery 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

1861421141

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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 6600, South Bend, IN, 46601
Fax (574) 647-8811
Enumeration date Jun 30, 2006
Last updated in NPPES Mar 30, 2026

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Primary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians Secondary
2084S0012X Sleep Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeffrey Costello
Title Vp/Cfo

Other identifiers

Identifier Type State Issuer
300041458 Medicaid IN -
201003280B Medicaid IN -
201003280A 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 1861421141, 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 2026-03-30.