BEACON MEDICAL GROUP, INC.
NPI 1861421141
Neurological Surgery in South Bend, IN

Active since June 30, 2006CLIA 15D2323657 · Waiver
100 NAVARRE PL STE 6600, SOUTH BEND, IN 46601(574) 647-8800(574) 647-8811 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Oct 11, 2024, Jul 10, 2024 and 5 more (8 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

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

BEACON MEDICAL GROUP, INC. (NPI 1861421141), doing business as Beacon Medical Group Neurology, is a healthcare organization registered as a neurological surgery in South Bend, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2027, maintains 4 additional practice locations, and lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1861421141
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address100 NAVARRE PL STE 6600South Bend, IN 46601-1173
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Fax(574) 647-8811
Organization SubpartNo
Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 30, 20268 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1861421141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 NAVARRE PL STE 6600, South Bend, IN 46601

Other Names 4

Doing Business AsBeacon Medical Group Neurology
Doing Business AsBeacon Medical Group North Central Neurosurgery Elkhart
Doing Business AsBeacon Medical Group North Central Neurosurgery South Bend
Doing Business AsBeacon Medical Group Specialists Navarre

Secondary Practice Locations 4

Location 1100 Navarre Pl Ste 4400South Bend, IN 46601-1100 · Phone (574) 647-2501 · Fax (574) 647-2506
Location 26913 N Main St Ste 100Granger, IN 46530-8039 · Phone (574) 647-8542 · Fax (574) 647-8549
Location 3500 Arcade Ave Ste 200Elkhart, IN 46514-2485 · Phone (574) 294-8404 · Fax (574) 523-1642
Location 45314 Lincolnway EMishawaka, IN 46544-4249 · Phone (574) 647-8542 · Fax (574) 647-8549

Other Identifiers 3

Medicaid300041458IN
Medicaid201003280BIN
Medicaid201003280AIN

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

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, Inc. 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, Inc., which bills Medicare for the services they deliver. Of these, 95 practice at this address and 365 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
Nurse Practitioner
NPI 1821706763
100 NAVARRE PL STE 6600
South Bend, IN 46601
(574) 647-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265274013
100 NAVARRE PL STE 4460
South Bend, IN 46601
(574) 235-1010
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1376516732
100 NAVARRE PL STE 4470
South Bend, IN 46601
(574) 647-1405
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1134641038
100 NAVARRE PL STE 6600
South Bend, IN 46601
(574) 647-8800
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1386802387
100 NAVARRE PL STE 6600
South Bend, IN 46601
(574) 647-8800
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1902809213
100 NAVARRE PL STE 4470
South Bend, IN 46601
(574) 647-1405
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1780098780
100 NAVARRE PL STE 4440
South Bend, IN 46601
(574) 647-5300
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1720016926
100 NAVARRE PL STE 4400
South Bend, IN 46601
(574) 647-2501
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1881764579
100 NAVARRE PL STE 5570
South Bend, IN 46601
(574) 647-8610
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1942572797
100 NAVARRE PL STE 4440
South Bend, IN 46601
(574) 647-5300
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1295991081
100 NAVARRE PL STE 5500
South Bend, IN 46601
(574) 647-5200
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1003795121
100 NAVARRE PL STE 4470
South Bend, IN 46601
(574) 647-1405
✔ PECOSSame address
Otolaryngology
NPI 1487187894
100 NAVARRE PL STE 4460
South Bend, IN 46601
(574) 235-1010
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1093893026
100 NAVARRE PL STE 5500
South Bend, IN 46601
(574) 647-5200
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1497732556
100 NAVARRE PL STE 5500
South Bend, IN 46601
(574) 647-5200
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1467817791
100 NAVARRE PL STE 4460
South Bend, IN 46601
(574) 235-1010
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1265766703
100 NAVARRE PL STE 4460
South Bend, IN 46601
(574) 235-1010
✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1538470018
100 NAVARRE PL STE 5570
South Bend, IN 46601
(574) 647-8610
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1285072454
621 MEMORIAL DR STE 624
South Bend, IN 46601
(574) 647-8177
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558623686
621 MEMORIAL DR STE 402
South Bend, IN 46601
(574) 400-4550
✔ PECOS✔ Accepts MedicareSame address
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2323657

Beacon Medical Group Specialists Navarre · South Bend, IN
Active · expires May 11, 2027
CLIA Number15D2323657
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorJames Kozelka
Laboratory Phone(574) 647-2501
Laboratory LocationBeacon Medical Group Specialists Navarre100 Navarre Pl, Ste 4400, South Bend, IN 46601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1861421141. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Beacon Medical Group Neurology, Beacon Medical Group North Central NeuroSurgery Elkhart, Beacon Medical Group North Central NeuroSurgery South Bend and Beacon Medical Group Specialists Navarre.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 100 Navarre Pl Ste 6600, South Bend, IN 46601. The listed phone number is (574) 647-8800.

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

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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, 95 practice at this address and 365 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beacon Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2323657) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.