Beacon Medical Group, Inc.
NPI 1548415474 · Pediatrics Physician · South Bend, IN
Beacon Medical Group, Inc. is a Pediatrics Physician organization in South Bend, IN (NPI 1548415474).
Provider details
- NPI number
- 1548415474
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Costello, Vice President/Cfo(574) 647-3549
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Neonatal-Perinatal Medicine Physician2080N0001X
Allopathic & Osteopathic Physicians
- Pediatric Pulmonology Physician2080P0214X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Beacon Medical Group Pediatric Multi-Specialty
- Doing business as
- Beacon Medical Group Pediatric Multi-Specialty
- Doing business as
- Beacon Medical Group Pediatric Specialists
Additional practice locations (1)
- 100 Navarre Pl Ste 5570South Bend, IN 46601-1169Phone: (574) 647-8610Fax: (574) 647-8615
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Beacon Medical Group, Inc.'s NPI number?
- Beacon Medical Group, Inc.'s National Provider Identifier (NPI) is 1548415474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Medical Group, Inc.?
- Beacon Medical Group, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Beacon Medical Group, Inc. located?
- Beacon Medical Group, Inc.'s practice location on file with NPPES is 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169.
- What is Beacon Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Beacon Medical Group, Inc. is (574) 647-2550.
- Who is the authorized official for Beacon Medical Group, Inc.?
- The authorized official listed on Beacon Medical Group, Inc.'s NPPES record is Jeffrey Costello, Vice President/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Medical Group, Inc.'s NPI active?
- Yes — Beacon Medical Group, Inc.'s NPI (1548415474) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.