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BEACON MEDICAL GROUP ADVANCED CARDIOLOGY SPECIALISTS SOUTH BEND
NPI 1780859157
Internal Medicine - Cardiovascular Disease in South Bend, IN

Active since April 28, 2008
610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8120(574) 647-8111 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beacon Medical Group Advanced Cardiology Specialists South Bend NPPES

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

BEACON MEDICAL GROUP ADVANCED CARDIOLOGY SPECIALISTS SOUTH BEND (NPI 1780859157) is a healthcare organization registered as a cardiovascular disease in South Bend, Indiana and active in the NPI registry since April 2008. The organization lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1780859157
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address610 N MICHIGAN ST STE 400South Bend, IN 46601-1081
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-8120
Fax(574) 647-8111
Organization SubpartNo
Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549
Enumeration DateApril 28, 2008
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1780859157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01045628A
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

610 N MICHIGAN ST STE 400, South Bend, IN 46601
Open in Google Maps ↗

Other Names 1

Doing Business AsBeacon Medical Group Advanced Cardiology Specialists South Bend

Other Identifiers 2

Medicaid200921930AIN
Medicaid200921930DIN

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 20

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

MAYANK KUMAR MITTAL MD
Internal Medicine (Interventional Cardiology)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
MUHAMMAD SHAKIL ASLAM MD
Internal Medicine (Interventional Cardiology)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
SAMUEL BENJAMIN HUXLEY MD
Internal Medicine (Interventional Cardiology)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
DIANE RENE SHARKEY NP
Nurse Practitioner (Family)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
RILEY GRABER PA
Physician Assistant
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
DANIEL MENG M.D.
Internal Medicine (Cardiovascular Disease)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
LAURA MARIE FESSLER MSN, CCRN, AGACNP-BC
Nurse Practitioner (Gerontology)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120
BRENDAN THOMAS DURR
Internal Medicine (Cardiovascular Disease)
610 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8120

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 1780859157. It was assigned to this organization in the NPPES registry on April 28, 2008. The provider is doing business as Beacon Medical Group Advanced Cardiology Specialists South Bend.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 610 N Michigan St Ste 400, South Bend, IN 46601. The listed phone number is (574) 647-8120.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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 April 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.