What is Beacon Medical Group's NPI number?

Beacon Medical Group's National Provider Identifier (NPI) is 1689627812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Beacon Medical Group?

Beacon Medical Group is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).

Where is Beacon Medical Group located?

Beacon Medical Group's practice location on file with NPPES is 100 Navarre Pl, South Bend, IN 46601-1156.

What is Beacon Medical Group's phone number?

The practice phone number listed in the NPPES registry for Beacon Medical Group is (574) 647-4535.

Who is the authorized official for Beacon Medical Group?

The authorized official listed on Beacon Medical Group's NPPES record is Jeffrey Costello, Vp-Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Beacon Medical Group's NPI active?

Yes — Beacon Medical Group's NPI (1689627812) is active in the NPPES registry as of the last update on 2016-03-09.

OrganizationActive

Beacon Medical Group

NPI 1689627812 · Urology Physician · South Bend, IN

Beacon Medical Group is a Urology Physician organization in South Bend, IN (NPI 1689627812).

Provider details

NPI number: 1689627812
Entity type: Organization
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Vp-Cfo(574) 647-3549
License: 01024987A (IN)

Practice location

100 Navarre Pl

Suite 4400

South Bend, IN 46601-1156

Phone: (574) 647-4535

Street-level locationGet directions

Mailing address

710 N Niles Ave

South Bend, IN 46617-1924

Specialties & taxonomies

Urology PhysicianPrimary208800000XLicense 01024987A (IN)
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Memorial Children'S Hospital Navarre Pediatrics

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.

Enumerated: 2006-05-18
Last updated: 2016-03-09

Frequently asked questions

What is Beacon Medical Group's NPI number?: Beacon Medical Group's National Provider Identifier (NPI) is 1689627812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Beacon Medical Group?: Beacon Medical Group is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
Where is Beacon Medical Group located?: Beacon Medical Group's practice location on file with NPPES is 100 Navarre Pl, South Bend, IN 46601-1156.
What is Beacon Medical Group's phone number?: The practice phone number listed in the NPPES registry for Beacon Medical Group is (574) 647-4535.
Who is the authorized official for Beacon Medical Group?: The authorized official listed on Beacon Medical Group's NPPES record is Jeffrey Costello, Vp-Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Beacon Medical Group's NPI active?: Yes — Beacon Medical Group's NPI (1689627812) is active in the NPPES registry as of the last update on 2016-03-09.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions