Beacon Medical Group, Inc.
NPI 1174927131ActiveOrganization· Surgery, Trauma Surgery· South Bend, IN
Surgery, Trauma Surgery in South Bend, Indiana, registered in NPPES in October 2014. The authorized official on file is Jeffrey P. Costello, Cfo.
Overview
| NPI | 1174927131 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2014 |
| Last updated in NPPES | Apr 24, 2023 |
| Certified by provider | Apr 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|