Beacon Medical Group, Inc.
NPI 1770775009ActiveOrganization· Radiology, Radiation Oncology· South Bend, IN
Radiology, Radiation Oncology in South Bend, Indiana, registered in NPPES in August 2007. The authorized official on file is Jeffrey P. Costello, Vp-Cfo.
Overview
| NPI | 1770775009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2007 |
| Last updated in NPPES | Apr 28, 2023 |
| Certified by provider | Apr 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Radiation Oncology Primary | 2085R0001X | 01021173A | IN |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — | — |
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 |
|---|
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