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Beacon Medical Group, Inc.

NPI 1275587149ActiveOrganization· Family Medicine· South Bend, IN

Family Medicine in South Bend, Indiana, registered in NPPES in May 2006. The authorized official on file is Jeffrey Costello, Vp-Cfo.

Overview

NPI1275587149
StatusActive
Entity typeOrganization
NPI issuedMay 22, 2006
Last updated in NPPESJul 3, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X01022886AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in South Bend

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