Pediatrics
BEACON MEDICAL GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548415474 · enumerated 2008-11-19 · record updated 2025-07-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JEFFREY COSTELLO, Vice President/CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP PEDIATRIC MULTI-SPECIALTY, BEACON MEDICAL GROUP PEDIATRIC SPECIALISTS
Addresses and phones
- Practice location 100 NAVARRE PL STE 5550, SOUTH BEND, IN, 46601-1169 (574) 647-2550 Fax (574) 647-1129 Google Maps Apple Maps OpenStreetMap
- Mailing address 3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380 (574) 647-1069 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist 103T00000X
- Psychologist, Clinical 103TC0700X
- Dietitian, Registered 133V00000X
- Pediatrics, Neonatal-Perinatal Medicine 2080N0001X
- Pediatrics, Pediatric Pulmonology 2080P0214X
- Nurse Practitioner 363L00000X
- Pediatrics 208000000X · Primary · License 01065535A IN
In this directory
Locations and evidence
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Practice location
SOUTH BEND, IN, 466011169
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.