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

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: August 09, 2026.

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

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VALERIA I VALTIERRA MSW
Social Worker (Clinical)
813 S MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 282-8700
INDIANA HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
813 S MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 235-7990
MRS. ALISHA NOEL MACK MSN
Nurse Practitioner (Family)
813 S MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 283-5572
THE CENTER FOR THE HOMELESS, INC
Clinic/Center
813 S MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 282-8700

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.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and 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.