Beacon Medical Group Oncology South Bend – Radiation Oncology Physician, NPI 1770775009

Beacon Medical Group Oncology South Bend is a healthcare provider. based in South bend, Indiana. specializing in Radiation Oncology Physician. The organization holds a License No. 01021173A (IN). The NPI Number for Beacon Medical Group Oncology South Bend is 1770775009

Main info

Organization
Name
Beacon Medical Group Oncology South Bend
NPI
1770775009
Phone
(574) 647-1100
Address
621 MEMORIAL DR STE 100
Authorized Official
MR. JEFFREY P. COSTELLO VP-CFO
Enumeration Date
10 August 2007
Last Update Date
28 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Beacon Medical Group Oncology South Bend

  • 621 MEMORIAL DR STE 100

    SOUTH BEND, IN 466011063

    Phone: (574) 647-1100

    Fax: (574) 647-5907

    Type: Location

  • Memorial Hospital of South Bend, 615, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46601, United States

    1ST FLOOR

    SOUTH BEND, IN 466011033

    Phone: (574) 647-7461

    Fax: (574) 647-3148

    Type: Location

  • 1215 Lawn Ave Ste 120

    Elkhart, IN 465142450

    Phone: (574) 523-2733

    Fax: (574) 523-3251

    Type: Location

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1817

    Type: Mailing

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 46601)

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Frequently asked questions

What is the standard ID for Beacon Medical Group Oncology South Bend in the U.S.?
In the U.S., Beacon Medical Group Oncology South Bend is identified by NPI 1770775009.
Should I treat Beacon Medical Group Oncology South Bend as an active provider?
Patients and plans typically see Beacon Medical Group Oncology South Bend as active in the national extract.
What does the directory say Beacon Medical Group Oncology South Bend does?
Insurance directories may phrase it differently, but here Beacon Medical Group Oncology South Bend maps to Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Beacon Medical Group Oncology South Bend in South Bend, Indiana?
For routing, start with South Bend, Indiana for Beacon Medical Group Oncology South Bend, then verify phone and hours locally.
Can I export Beacon Medical Group Oncology South Bend's record?
You can download the official NPPES record; we summarize key fields for readability.

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