OrganizationActive
Beacon Medical Group Inc
NPI 1205887817 · Rheumatology Physician · South Bend, IN
Provider details
- NPI number
- 1205887817
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Costello, Vp-Cfo(574) 647-3549
- License
- 01061323A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
707 N Michigan St
Suite 102
South Bend, IN 46601-1067
Phone: (574) 647-4500
Street-level locationGet directions
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Other names (DBA / former)
- Doing business as
- Michiana Arthritis & Osteoporosis Center
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2016-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.