1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Family Medicine
  6. NPI Profile

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: August 16, 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
Phone(574) 647-1400
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
Open in Google Maps ↗

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

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

Other Providers at the Same Location NPPES 7

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

DR. JON ANDREW SHULL M.D.
Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 647-1400
YVONNE CHAADULIA LINDEIRE
Nurse Practitioner
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 406-6180
JACQUELINE BROWN LCSW
Social Worker (Clinical)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 406-6180
DR. KRISTEN WRIGHT MD
Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (888) 580-1060
LUANN MARIE TRACEY FNP
Nurse Practitioner (Family)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 647-1400
MS. PATRICIA ANN CORBETT NP
Nurse Practitioner (Women's Health)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 400-4418
HEALTHLINC, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (219) 413-5100

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.

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 9 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.