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Beacon Medical Group, Inc.

Pediatric Hematology & Oncology Physician in South Bend, IN · enumerated 2006 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1992756696

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 615 N Michigan St 4th Fl, South Bend, IN, 46601
Fax (574) 647-6895
Enumeration date May 15, 2006
Last updated in NPPES Mar 4, 2024

Taxonomy & classification

2080P0207X Pediatric Hematology & Oncology Physician Allopathic & Osteopathic Physicians · License 02001713A (IN) Primary

Authorized official

Name Jeffrey Costello
Title Cfo

Other identifiers

Identifier Type State Issuer
200510720A 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 1992756696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (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 2024-03-04.