BEACON MEDICAL GROUP CRITICAL KIDS - NPI 1467408237

Q: 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.

Q: 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.

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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

Phone(574) 647-7275

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

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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

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 6

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

HARI RASAD GOURABATHINI M.D

Pediatrics (Pediatric Critical Care Medicine)