MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS
NPI 1689627812
Urology in South Bend, IN
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Children's Hospital Navarre Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
734Medicare enrollment records show 734 clinicians reassign Medicare billing to Memorial Children's Hospital Navarre Pediatrics, which bills Medicare for the services they deliver. Of these, 94 practice at this address and 365 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 734South Bend, IN 46601
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'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.
Is Beacon Medical Group enrolled in Medicare?
Yes. Beacon Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beacon Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group. 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, 94 practice at this address and 365 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Memorial Children's Hospital Navarre Pediatrics · NPI 1689627812
Urology organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1689627812 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Beacon Medical Group
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, VP-CFO
## Practice location
- **Address:** 100 NAVARRE PL, SUITE 4400, South Bend, IN 46601-1156
- **Phone:** (574) 647-4535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 734 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (188), Family Practice (113), Certified Registered Nurse Anesthetist (CRNA) (49); 94 practice at this address and 365 within 10 miles; [full list](https://npiprofile.com/npi/1689627812/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2016
- **Other identifiers:** Medicare PIN 225380 (IN); Other 15D1038973 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1689627812) · Data from the CMS NPPES public registry.