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BEACON MEDICAL GROUP CLEVELAND ROAD
NPI 1588024624
Family Medicine in South Bend, IN

Active since March 02, 2016
2235 CLEVELAND RD, SOUTH BEND, IN 46628(574) 647-4530(574) 647-2285 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beacon Medical Group Cleveland Road NPPES

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

BEACON MEDICAL GROUP CLEVELAND ROAD (NPI 1588024624) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since March 2016. The organization lists Jeffrey P Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1588024624
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address2235 CLEVELAND RDSouth Bend, IN 46628-3529
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 647-4530
Fax(574) 647-2285
Organization SubpartNo
Authorized OfficialJeffrey P CostelloVp-cfo · (574) 647-3549
Enumeration DateMarch 2, 2016
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1588024624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2235 CLEVELAND RD, South Bend, IN 46628
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Other Names 1

Doing Business AsBeacon Medical Group Cleveland Road

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 15

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

JEFFREY HASSEL EIFLER D.P.M.
Podiatrist (Foot & Ankle Surgery)
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
JUSTINE WISE LCSW
Social Worker (Clinical)
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
JOHN A WHITNEY MD
Family Medicine
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
TRAVIS WADE CASPER MD
Family Medicine
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
KAROLYN HARKER
Nurse Practitioner (Family)
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
KIRA BLOOM LCSW
Social Worker (Clinical)
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
DYLLAN TIBURZI
Family Medicine
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530
ARIF GOREJA MD
Internal Medicine (Nephrology)
2235 CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 647-4530

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 1588024624. It was assigned to this organization in the NPPES registry on March 2, 2016. The provider is doing business as Beacon Medical Group Cleveland Road.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 2235 Cleveland Rd, South Bend, IN 46628. The listed phone number is (574) 647-4530.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and 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 February 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.