Thoracic Surgery (Cardiothoracic Vascular Surgery)
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 Plan acceptance stays unpublished until the practice reports it.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 1881971505 · enumerated 2011-11-09 · record updated 2024-02-22. 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 CARDIOTHORACIC SURGERY SOUTH BEND
Addresses and phones
- Practice location 610 N MICHIGAN ST STE 306, SOUTH BEND, IN, 46601-1079 (574) 647-6500 Fax (574) 647-6518 Google Maps Apple Maps OpenStreetMap
- Mailing address 710 N NILES AVE, SOUTH BEND, IN, 46617-1924 (574) 647-1610 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Nurse Practitioner, Family 363LF0000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X · Primary
In this directory
IN St. Joseph County South Bend Thoracic Surgery (Cardiothoracic Vascular Surgery)
Locations and evidence
-
Practice location
SOUTH BEND, IN, 466011079
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.