Beacon Medical Group, Inc.
NPI 1609828946ActiveOrganization· 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
| NPI | 1609828946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01034518A | IN |
| Obstetrics & Gynecology | 207V00000X | — | — |
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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