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

Q: 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.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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: October 18, 2026.

On this page

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 ›

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 Cleveland Road 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 Cleveland Road, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 345 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

Arif Goreja, MD

Nephrology

NPI 1447215611

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts MedicareSame address

Devin Kinney, FNP

Nurse Practitioner

NPI 1497462576

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts MedicareSame address

Syed Rizvi, MD

Nephrology

NPI 1508836172

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts MedicareSame address

Dyllan Tiburzi

Family Practice

NPI 1326536095

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts MedicareSame address

Thomas Larsen, MD

Family Practice

NPI 1285998146

4440 PORTAGE AVE
South Bend, IN 46628

(574) 204-6200

✔ PECOS✔ Accepts Medicare2.3 mi

Sandra Cho, D.P.M.

Podiatry

NPI 1770522989

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare2.8 mi

Leah Craft, M.D.

Family Practice

NPI 1467687277

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare2.8 mi

Christopher Hall, M.D.

Family Practice

NPI 1750379871

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare2.8 mi

John Whitney, MD

Family Practice

NPI 1205240637

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare2.8 mi

Travis Casper, MD

Family Practice

NPI 1215135918

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare3.0 mi

Jeffrey Eifler, D.P.M.

Podiatry

NPI 1003178690

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare3.0 mi

Karolyn Harker

Nurse Practitioner

NPI 1285427468

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare3.0 mi

Caylee Watson, NP

Nurse Practitioner

NPI 1891647731

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS3.0 mi

Justine Wise, LCSW

Clinical Social Worker

NPI 1164935078

2235 CLEVELAND RD
South Bend, IN 46628

(574) 647-4530

✔ PECOS✔ Accepts Medicare3.0 mi

Ismail Al-Ani, MD

Pulmonary Disease

NPI 1578547402

621 MEMORIAL DR STE 512
South Bend, IN 46601

(574) 246-9350

✔ PECOS✔ Accepts Medicare5.6 mi

William Anderson, MD

General Surgery

NPI 1194177451

621 MEMORIAL DR STE 502
South Bend, IN 46601

(574) 647-5875

✔ PECOS✔ Accepts Medicare5.6 mi

Kristen Atwood, APN

Nurse Practitioner

NPI 1316587165

621 MEMORIAL DR STE 100
South Bend, IN 46601

(574) 647-1100

✔ PECOS✔ Accepts Medicare5.6 mi

Heidi Collins, MD

Physical Medicine and Rehabilitation

NPI 1093888430

621 MEMORIAL DR STE 624
South Bend, IN 46601

(574) 647-8177

✔ PECOS✔ Accepts Medicare5.6 mi

Susana Diaz, CNM

Certified Nurse Midwife (CNM)

NPI 1972857704

621 MEMORIAL DR STE 403
South Bend, IN 46601

(574) 647-1405

✔ PECOS✔ Accepts Medicare5.6 mi

John Karagiannis, M.D.

Gastroenterology

NPI 1386647170

621 MEMORIAL DR STE 511
South Bend, IN 46601

(574) 544-5580

✔ PECOS✔ Accepts Medicare5.6 mi

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 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.

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, 4 practice at this address and 345 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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.