Beacon Medical Group Middlebury – Family Medicine Physician, NPI 1114363835

Beacon Medical Group Middlebury is a healthcare provider. based in South bend, Indiana. specializing in Family Medicine Physician. The NPI Number for Beacon Medical Group Middlebury is 1114363835

Main info

Organization
Name
Beacon Medical Group Middlebury
NPI
1114363835
Phone
(574) 647-1610
Address
710 N NILES AVE
Authorized Official
MR. JEFFREY P. COSTELLO CFO
Enumeration Date
21 May 2013
Last Update Date
4 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Beacon Medical Group Middlebury

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 206 W WARREN ST

    MIDDLEBURY, IN 465409410

    Phone: (574) 825-2146

    Fax: (574) 524-7435

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46617)

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Reviews

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Frequently asked questions

What number should I use to identify Beacon Medical Group Middlebury for billing?
Administrative and clinical systems typically use NPI 1114363835 for Beacon Medical Group Middlebury.
Should I treat Beacon Medical Group Middlebury as an active provider?
Patients and plans typically see Beacon Medical Group Middlebury as active in the national extract.
What services align with Beacon Medical Group Middlebury's listing?
Beacon Medical Group Middlebury's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Beacon Medical Group Middlebury tied to South Bend, Indiana?
If you are local to South Bend, Indiana, Beacon Medical Group Middlebury may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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