BEACON MEDICAL GROUP, INC. – Otolaryngology/Facial Plastic Surgery Physician, NPI 1295087500

BEACON MEDICAL GROUP, INC. is a healthcare provider. based in South bend, Indiana. specializing in Otolaryngology/Facial Plastic Surgery Physician. The NPI Number for BEACON MEDICAL GROUP, INC. is 1295087500

Main info

Organization
Name
BEACON MEDICAL GROUP, INC.
NPI
1295087500
Phone
(574) 647-1610
Address
710 N NILES AVE
Authorized Official
MR. JEFFREY P COSTELLO CFO
Enumeration Date
10 October 2012
Last Update Date
12 October 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for BEACON MEDICAL GROUP, INC.

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 1753 FULTON ST

    ELKHART, IN 465141927

    Phone: (574) 293-9448

    Fax: (574) 293-9480

    Type: Location

  • 1753 Fulton St

    Elkhart, IN 465141927

    Phone: (574) 293-9448

    Fax: (574) 293-9480

    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

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

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Medicare Utilization (FFS)

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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 NPI should I save for BEACON MEDICAL GROUP, INC.?
Save NPI 1295087500 if you need a stable reference for BEACON MEDICAL GROUP, INC..
Is BEACON MEDICAL GROUP, INC. currently active in the NPI registry?
CMS-published data lists BEACON MEDICAL GROUP, INC. as an active registrant.
Can you summarize BEACON MEDICAL GROUP, INC.'s specialty in plain language?
Clinically, the directory lists BEACON MEDICAL GROUP, INC. with Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does BEACON MEDICAL GROUP, INC. practice in Indiana?
You will see South Bend, Indiana on file for BEACON MEDICAL GROUP, INC. alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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