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

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: July 26, 2026.

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

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
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

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

Other Providers at the Same Location NPPES 6

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

Physician Assistant
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601
Physician Assistant
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
610 N MICHIGAN ST STE 306
SOUTH BEND, IN 46601

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.

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 February 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.