Obstetrics & Gynecology, Maternal & Fetal 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 Plan acceptance stays unpublished until the practice reports it.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 1710939608 · enumerated 2006-05-17 · record updated 2026-02-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JEFFREY COSTELLO, VP-CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP MATERNAL FETAL MEDICINE SOUTH BEND
Addresses and phones
- Mailing address 3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380 (574) 647-3725 Google Maps Apple Maps OpenStreetMap
- Practice location 100 NAVARRE PL STE 4410, SOUTH BEND, IN, 46601-1171 (574) 647-6370 Fax (574) 647-6373 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X
- Genetic Counselor, MS 170300000X
- Obstetrics & Gynecology 207V00000X
- Surgery, Surgical Critical Care 2086S0102X
- Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X · Primary · License 01053966A IN
In this directory
IN St. Joseph County South Bend Obstetrics & Gynecology, Maternal & Fetal Medicine
Locations and evidence
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Practice location
SOUTH BEND, IN, 466011171
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.