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: July 19, 2026.

  • Organization
  • Family Medicine
  • Accepts Insurance

About BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Beacon Medical Group Southeast Neighborhood Health Center, a primary care provider established in South Bend, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1437100161 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 01059718A (IN). The provider is registered as an organization and their NPI record was last updated 10 years ago. Beacon Medical Group Southeast Neighborhood Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Beacon Medical Group Southeast Neighborhood Health Center. The authorized official of this NPI record is Jeffrey Costello (Vp-cfo)

NPI
1437100161 Verify this NPI
Provider Legal Name
BEACON MEDICAL GROUP, INC.
Other Organization Name
BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1708 HIGH ST SOUTH BEND, IN 46613
Location Phone
(574) 647-1400
Mailing Address
710 N NILES AVE SOUTH BEND, IN 46617
Mailing Phone
(574) 647-1610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2006
Last Update Date
08-29-2016
Code Navigator

A primary care provider (PCP) like Beacon Medical Group Southeast Neighborhood Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
01059718A
License State
IN
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY COSTELLO

Authorized Official Title
VP-CFO
Authorized Official Phone
(574) 647-3549

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
178410MEDICARE PIN (08)IN 
200114230AMEDICAID (05)IN 

Reviews for BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613
Nurse Practitioner (Family)
1708 HIGH ST
SOUTH BEND, IN 46613
Nurse Practitioner (Women's Health)
1708 HIGH ST
SOUTH BEND, IN 46613
Social Worker (Clinical)
1708 HIGH ST
SOUTH BEND, IN 46613
Clinic/Center (Federally Qualified Health Center (FQHC))
1708 HIGH ST
SOUTH BEND, IN 46613
Nurse Practitioner
1708 HIGH ST
SOUTH BEND, IN 46613
Social Worker (Clinical)
1708 HIGH ST
SOUTH BEND, IN 46613
Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437100161, enumerated as an "organization" on May 15, 2006.

The provider is located at 1708 HIGH ST SOUTH BEND, IN 46613 and the phone number is (574) 647-1400.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.