BEACON MEDICAL GROUP CARDIOTHORACIC SURGERY SOUTH BEND
NPI 1881971505
Thoracic Surgery (Cardiothoracic Vascular Surgery) in South Bend, IN

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

The NPI number for Beacon Medical Group, Inc. is 1881971505. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Beacon Medical Group Cardiothoracic Surgery South Bend.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since November 09, 2011

610 N MICHIGAN ST STE 306, SOUTH BEND, IN 46601(574) 647-6500(574) 647-6518 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Aug 30, 2016 (2 updates tracked since 2016).

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About Beacon Medical Group Cardiothoracic Surgery South Bend NPPES

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

BEACON MEDICAL GROUP CARDIOTHORACIC SURGERY SOUTH BEND (NPI 1881971505) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in South Bend, Indiana and active in the NPI registry since November 2011. The organization lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1881971505

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address610 N MICHIGAN ST STE 306South Bend, IN 46601-1079

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(574) 647-6500

Fax(574) 647-6518

Organization SubpartNo

Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549

Enumeration DateNovember 9, 2011

Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2024

✔ NPI 1881971505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

610 N MICHIGAN ST STE 306, South Bend, IN 46601

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Other Names 1

Doing Business AsBeacon Medical Group Cardiothoracic Surgery South Bend

Other Identifiers 1

Medicaid201041690AIN

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 Cardiothoracic Surgery South Bend 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 Cardiothoracic Surgery South Bend, which bills Medicare for the services they deliver. Of these, 10 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

Muhammad Aslam, MD

Interventional Cardiology

NPI 1023053022

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts MedicareSame address

Vinod Chauhan, MD

Cardiovascular Disease (Cardiology)

NPI 1831196641

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOSSame address

Patricia Gasper, FNP-BC

Nurse Practitioner

NPI 1942650726

610 N MICHIGAN ST SUITE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts MedicareSame address

John Kobayashi, MD

Cardiovascular Disease (Cardiology)

NPI 1669479572

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts MedicareSame address

Mayank Mittal, MD

Interventional Cardiology

NPI 1003044702

610 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts MedicareSame address

Daniel Tom, MSN, FNP

Nurse Practitioner

NPI 1558506667

610 N MICHIGAN ST STE 306
South Bend, IN 46601

(574) 647-8120

✔ PECOS✔ Accepts MedicareSame address

Daniel Weber, M.D.

Thoracic Surgery

NPI 1942520762

610 N MICHIGAN ST STE 306
South Bend, IN 46601

(574) 647-6500

✔ PECOS✔ Accepts MedicareSame address

Julie Coyle, MD

Psychiatry

NPI 1619381993

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

John Haskin, M.D.

Psychiatry

NPI 1154351393

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Jennifer Prins, M.D.

Psychiatry

NPI 1821386707

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Duane Flaig, FNP, APRN-BC

Nurse Practitioner

NPI 1508080714

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Sarah Geyer, PMHNP

Nurse Practitioner

NPI 1528698081

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Jamie Henderson, PMHNP

Nurse Practitioner

NPI 1194505206

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Jennifer Loop-Miller, PMHNP

Nurse Practitioner

NPI 1730698267

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Sara Mahoney, MSN, RN, FNP-C

Nurse Practitioner

NPI 1881312932

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOSSame address

Jagadeesh Reddy, M.D.

Psychiatry

NPI 1275705691

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Michael Steinberg, MD

Thoracic Surgery

NPI 1073688248

707 NO MICHIGAN STREET SUITE 501
South Bend, IN 46601

(574) 237-0644

✔ PECOS✔ Accepts MedicareSame address

Erik Thordarson, MD

Psychiatry

NPI 1497251045

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Sheryl Vinci, APRN

Nurse Practitioner

NPI 1710403282

707 N MICHIGAN ST STE 400
South Bend, IN 46601

(574) 647-8470

✔ PECOS✔ Accepts MedicareSame address

Teresa Keiser, MD

Family Practice

NPI 1780370304

714 N MICHIGAN ST
South Bend, IN 46601

(574) 647-7477

✔ PECOS✔ Accepts Medicare0.1 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 1881971505. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Beacon Medical Group Cardiothoracic Surgery South Bend.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 610 N Michigan St Ste 306, South Bend, IN 46601. The listed phone number is (574) 647-6500.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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, 10 practice at this address and 365 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.