BEACON MEDICAL GROUP CRITICAL KIDS
NPI 1467408237
Pediatrics - Pediatric Critical Care Medicine in South Bend, IN

Active since May 25, 2006
615 N MICHIGAN ST 5TH FL, SOUTH BEND, IN 46601(574) 647-7275(574) 647-3696 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2018, Aug 29, 2016 (2 updates tracked since 2016).

About Beacon Medical Group Critical Kids NPPES

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

BEACON MEDICAL GROUP CRITICAL KIDS (NPI 1467408237) is a healthcare organization registered as a pediatric critical care medicine in South Bend, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467408237
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address615 N MICHIGAN ST 5TH FLSouth Bend, IN 46601-1033
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Fax(574) 647-3696
Organization SubpartNo
Authorized OfficialJeffrey CostelloCfo · (574) 647-3549
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1467408237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
615 N MICHIGAN ST 5TH FL, South Bend, IN 46601

Other Names 1

Doing Business AsBeacon Medical Group Critical Kids

Other Identifiers 1

Medicaid200235870AIN

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 Critical Kids 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 Critical Kids, which bills Medicare for the services they deliver. Of these, 64 practice at this address and 365 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
Nurse Practitioner
NPI 1811244304
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOSSame address
Internal Medicine
NPI 1538508429
615 N MICHIGAN ST 1ST FLOOR HOSPITALIST SUITE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1063895845
615 N MICHIGAN ST 5TH FL
South Bend, IN 46601
(574) 647-7275
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881861573
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOSSame address
Family Practice
NPI 1386138998
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1891989539
615 N MICHIGAN ST 5TH FL
South Bend, IN 46601
(574) 647-7275
✔ PECOSSame address
Family Practice
NPI 1518316637
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689992984
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOSSame address
Nurse Practitioner
NPI 1679162614
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093761660
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407167604
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619927530
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912998642
615 N MICHIGAN ST FL 1
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1518256098
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760700454
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1033470851
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1770808081
615 N MICHIGAN ST 5TH FL
South Bend, IN 46601
(574) 647-7426
✔ PECOSSame address
Hospitalist
NPI 1538655709
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1144205113
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-3050
✔ PECOSSame address
Pulmonary Disease
NPI 1528390770
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
South Bend, IN 46601
(574) 647-6225
✔ PECOS✔ Accepts MedicareSame address
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 1467408237. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Beacon Medical Group Critical Kids.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 615 N Michigan St 5th Fl, South Bend, IN 46601. The listed phone number is (574) 647-7275.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

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, 64 practice at this address and 365 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 and CareSource 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 April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.