Beacon Medical Group, Inc.
NPI 1588024624ActiveOrganization· Family Medicine· South Bend, IN
Family Medicine in South Bend, Indiana, registered in NPPES in March 2016. The authorized official on file is Jeffrey P. Costello, Vp-Cfo.
Overview
| NPI | 1588024624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2016 |
| Last updated in NPPES | Feb 22, 2024 |
| Certified by provider | Feb 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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