BEACON MEDICAL GROUP, INC.
NPI 1275587149
Family Medicine in South Bend, IN

Q: What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1275587149. It was assigned to this organization in the NPPES registry on May 22, 2006.

Q: What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 22, 2006

813 S MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-2400(574) 647-4201 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2018, Aug 29, 2016 (2 updates tracked since 2016).

On this page

About Beacon Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP, INC. (NPI 1275587149) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since May 2006. The organization maintains a secondary practice location in South Bend and lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1275587149

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address813 S MICHIGAN STSouth Bend, IN 46601

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(574) 647-2400

Fax(574) 647-4201

Organization SubpartNo

Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549

Enumeration DateMay 22, 2006

Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration

✔ NPI 1275587149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01022886A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

813 S MICHIGAN ST, South Bend, IN 46601

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Secondary Practice Location 1

Location 1621 Memorial Dr Ste 402South Bend, IN 46601-1074 · Phone (574) 647-2500 · Fax (574) 647-7140

Other Identifiers 2

Medicaid200191560BIN

Medicaid200191560AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 367 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188

Family Practice113

Certified Registered Nurse Anesthetist (CRNA)49

Obstetrics/Gynecology49

Internal Medicine42

Neurology29

Pediatric Medicine28

Psychiatry21

37 other specialties215

Nearest to this location (20)

See all 734

Julie Coyle, MD

Psychiatry

NPI 1619381993

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts Medicare0.1 mi

John Haskin, M.D.

Psychiatry

NPI 1154351393

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts Medicare0.1 mi

Teresa Keiser, MD

Family Practice

NPI 1780370304

714 N MICHIGAN ST
South Bend, IN 46601

(574) 647-7477

✔ PECOS✔ Accepts Medicare0.1 mi

Kelsey Perry, MD CANDIDATE

Family Practice

NPI 1730758673

714 N MICHIGAN ST
South Bend, IN 46601

(574) 647-7477

✔ PECOS✔ Accepts Medicare0.1 mi

Duane Flaig, FNP, APRN-BC

Nurse Practitioner

NPI 1508080714

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts Medicare0.2 mi

Sarah Geyer, PMHNP

Nurse Practitioner

NPI 1528698081

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts Medicare0.2 mi

Michael Steinberg, MD

Thoracic Surgery

NPI 1073688248

707 NO MICHIGAN STREET SUITE 501
South Bend, IN 46601

(574) 237-0644

✔ PECOS✔ Accepts Medicare0.2 mi

Muhammad Aslam, MD

Interventional Cardiology

NPI 1023053022

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts Medicare0.2 mi

Vinod Chauhan, MD

Cardiovascular Disease (Cardiology)

NPI 1831196641

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS0.2 mi

John Kobayashi, MD

Cardiovascular Disease (Cardiology)

NPI 1669479572

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts Medicare0.2 mi

Haidong Bao, M.D.

Internal Medicine

NPI 1578723573

615 N MICHIGAN ST FL 1
South Bend, IN 46601

(574) 647-3050

✔ PECOS✔ Accepts Medicare0.2 mi

David Chi, MD

Hospitalist

NPI 1932662780

615 N MICHIGAN ST FL 1
South Bend, IN 46601

(574) 647-3050

✔ PECOS✔ Accepts Medicare0.2 mi

David Hornback, MD

Radiation Oncology

NPI 1790770964

615 N MICHIGAN ST
South Bend, IN 46601

(574) 647-1100

✔ PECOS✔ Accepts Medicare0.2 mi

Jonathan Ji, M.D.

Neurology

NPI 1477603504

615 N MICHIGAN ST FL 1
South Bend, IN 46601

(574) 647-1610

✔ PECOS✔ Accepts Medicare0.2 mi

James Jin, M.D.

Medical Oncology

NPI 1215900311

615 N MICHIGAN ST
South Bend, IN 46601

(574) 647-1100

✔ PECOS✔ Accepts Medicare0.2 mi

Nonyem Onujiogu, MD

Gynecological Oncology

NPI 1124262522

615 N MICHIGAN ST
South Bend, IN 46601

(574) 647-1100

✔ PECOS✔ Accepts Medicare0.2 mi

Pierre Andre Ovide, M.D.

Pediatric Medicine

NPI 1215179643

615 N MICHIGAN ST 5TH FL
South Bend, IN 46601

(574) 647-7275

✔ PECOS0.2 mi

Deepak Gaba, MD

Cardiac Electrophysiology

NPI 1366404782

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS0.3 mi

Richard Skupski, M.D.

Anesthesiology

NPI 1396722989

416 E MONROE ST SUITE 200
South Bend, IN 46601

(574) 232-8119

✔ PECOS✔ Accepts Medicare0.4 mi

Linda Mansfield, MD

Sports Medicine

NPI 1629075957

111 W JEFFERSON BLVD STE 100
South Bend, IN 46601

(574) 647-1669

✔ PECOS✔ Accepts Medicare0.6 mi

See all 734 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1275587149. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 813 S Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-2400.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 367 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.