Family Medicine
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 Plan acceptance stays unpublished until the practice reports it.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 1588024624 · enumerated 2016-03-02 · record updated 2024-02-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JEFFREY COSTELLO, VP-CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP CLEVELAND ROAD
Addresses and phones
- Practice location 2235 CLEVELAND RD, SOUTH BEND, IN, 46628-3529 (574) 647-4530 Fax (574) 647-2285 Google Maps Apple Maps OpenStreetMap
- Mailing address 710 N NILES AVE, SOUTH BEND, IN, 46617-1924 (574) 647-1610 Fax (574) 237-6069 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Nephrology 207RN0300X
- Podiatrist, Foot & Ankle Surgery 213ES0103X
- Nurse Practitioner, Family 363LF0000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
SOUTH BEND, IN, 466283529
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.