Beacon Medical Group Obstetrics & Gynecology Elkhart – Obstetrics & Gynecology Physician, NPI 1316073372

Beacon Medical Group Obstetrics & Gynecology Elkhart is a healthcare provider. based in South bend, Indiana. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 07-005017-1 (IN). The NPI Number for Beacon Medical Group Obstetrics & Gynecology Elkhart is 1316073372

Main info

Organization
Name
Beacon Medical Group Obstetrics & Gynecology Elkhart
NPI
1316073372
Phone
(574) 647-1610
Address
710 N NILES AVE
Authorized Official
MR. JEFFREY P COSTELLO CFO
Enumeration Date
26 February 2007
Last Update Date
4 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Beacon Medical Group Obstetrics & Gynecology Elkhart

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 2405 W Lexington Ave

    Elkhart, IN 465141417

    Phone: (574) 524-7575

    Fax: (574) 524-7576

    Type: Location

  • 1215 Lawn Ave Ste 110

    Elkhart, IN 465142493

    Phone: (574) 524-7570

    Fax: (574) 524-7571

    Type: Location

  • 1215 LAWN AVE STE 100

    ELKHART, IN 465142450

    Phone: (574) 293-2893

    Fax: (574) 293-1298

    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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Frequently asked questions

What is Beacon Medical Group Obstetrics & Gynecology Elkhart's NPI number?
Beacon Medical Group Obstetrics & Gynecology Elkhart's NPI is 1316073372 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to Beacon Medical Group Obstetrics & Gynecology Elkhart?
You should see Beacon Medical Group Obstetrics & Gynecology Elkhart as active in CMS-hosted NPPES data.
What expertise is attributed to Beacon Medical Group Obstetrics & Gynecology Elkhart?
Beacon Medical Group Obstetrics & Gynecology Elkhart's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is Beacon Medical Group Obstetrics & Gynecology Elkhart associated with South Bend?
Public fields place Beacon Medical Group Obstetrics & Gynecology Elkhart around South Bend, Indiana. Always confirm the exact site before visiting.
Does Beacon Medical Group Obstetrics & Gynecology Elkhart accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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