BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER
NPI 1437100161
Family Medicine in South Bend, IN

Active since May 15, 2006
1708 HIGH ST, SOUTH BEND, IN 46613(574) 647-1400 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Beacon Medical Group Southeast Neighborhood Health Center NPPES

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

BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER (NPI 1437100161) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1437100161
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address1708 HIGH STSouth Bend, IN 46613-2633
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 29, 2016
✔ NPI 1437100161 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 · 01059718A
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.
1708 HIGH ST, South Bend, IN 46613

Other Names 1

Doing Business AsBeacon Medical Group Southeast Neighborhood Health Center

Other Identifiers 2

Medicare PIN178410IN
Medicaid200114230AIN

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

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 Southeast Neighborhood Health Center 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 Southeast Neighborhood Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 368 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
Family Practice
NPI 1538850060
1708 HIGH ST
South Bend, IN 46613
(574) 406-6180
✔ PECOSSame address
Psychiatry
NPI 1437738226
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1073961918
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS1.0 mi
Family Practice
NPI 1780370304
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1730758673
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1760179006
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts Medicare1.0 mi
Anesthesiology
NPI 1396722989
416 E MONROE ST SUITE 200
South Bend, IN 46601
(574) 232-8119
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1619381993
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1154351393
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1821386707
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1508080714
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1528698081
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1194505206
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1730698267
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1881312932
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS1.0 mi
Psychiatry
NPI 1275705691
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Thoracic Surgery
NPI 1073688248
707 NO MICHIGAN STREET SUITE 501
South Bend, IN 46601
(574) 237-0644
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1497251045
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1710403282
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare1.0 mi
Interventional Cardiology
NPI 1023053022
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare1.1 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 1437100161. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Beacon Medical Group Southeast Neighborhood Health Center.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 1708 High St, South Bend, IN 46613. The listed phone number is (574) 647-1400.

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, 1 practice at this address and 368 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 August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.