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MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS
NPI 1689627812
Urology in South Bend, IN

Active since May 18, 2006
100 NAVARRE PL, SUITE 4400, SOUTH BEND, IN 46601(574) 647-4535 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Children's Hospital Navarre Pediatrics NPPES

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

MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS (NPI 1689627812) is a healthcare organization registered as an urology 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

NPI1689627812
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBEACON MEDICAL GROUP
Location Address100 NAVARRE PL, SUITE 4400South Bend, IN 46601-1156
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-4535
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 9, 2016
✔ NPI 1689627812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IN · 01024987A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 NAVARRE PL, South Bend, IN 46601
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Other Names 1

Doing Business AsMemorial Children's Hospital Navarre Pediatrics

Other Identifiers 2

Medicare PIN225380IN
Other15D1038973IN · Clia Number

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

Other Providers at the Same Location NPPES 20

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

ADAM SNOAP
Otolaryngology (Plastic Surgery within the Head & Neck)
100 NAVARRE PL, STE 4460
SOUTH BEND, IN 46601
St. Joseph County (574) 235-1010
BEACON SPECIALTY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
100 NAVARRE PL, SUITE 4405
SOUTH BEND, IN 46601
St. Joseph County (574) 251-3406
DR. THOMAS R. KEUCHER M.D.
Specialist
100 NAVARRE PL, SUITE 6600
SOUTH BEND, IN 46601
St. Joseph County (574) 232-7227
DR. STEPHEN M. SMITH M.D.
Neurological Surgery
100 NAVARRE PL, SUITE 6600
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8800
MR. ALAN J BIRNBAUM MD
Internal Medicine (Rheumatology)
100 NAVARRE PL, SUITE 5570
SOUTH BEND, IN 46601
St. Joseph County (574) 233-6620
BEACON MEDICAL GROUP INC
Obstetrics & Gynecology
100 NAVARRE PL, SUITE 4470
SOUTH BEND, IN 46601
St. Joseph County (574) 647-4230
KURT H STIVER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
100 NAVARRE PL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1650
TYNE MARIE SIMPSON FNP
Nurse Practitioner (Family)
100 NAVARRE PL, STE 4440
SOUTH BEND, IN 46601
St. Joseph County (574) 647-5300

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's NPI number?

The NPI number for Beacon Medical Group is 1689627812. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Memorial Children's Hospital Navarre Pediatrics.

Where is Beacon Medical Group located?

Beacon Medical Group is located at 100 Navarre Pl Suite 4400, South Bend, IN 46601. The listed phone number is (574) 647-4535.

What is Beacon Medical Group's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.