Beacon Medical Group, Inc.
NPI 1881971505ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· South Bend, IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) in South Bend, Indiana, registered in NPPES in November 2011. The authorized official on file is Jeffrey P. Costello, Vp/Cfo.
Overview
| NPI | 1881971505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2011 |
| Last updated in NPPES | Feb 22, 2024 |
| Certified by provider | Feb 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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