Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Medical Group, Inc

Organization Pediatric Critical Care Medicine Physician · NPI 1467408237

Beacon Medical Group, Inc is a Pediatric Critical Care Medicine Physician in South Bend, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 N Michigan St 5th Fl
South Bend, IN 46601-1033
Phone: (574) 647-7275
Fax: (574) 647-3696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X

Record details

NPI number1467408237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Critical Kids
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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