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Beacon Medical Group, Inc.

NPI 1447203674ActiveOrganization· Pediatrics· South Bend, IN

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

Overview

NPI1447203674
StatusActive
Entity typeOrganization
NPI issuedMay 18, 2006
Last updated in NPPESApr 4, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X01046281AIN

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Pediatrics providers in South Bend

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