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

Beacon Medical Group, Inc

Organization Hematology & Oncology Physician · NPI 1770775009

Beacon Medical Group, Inc is a Hematology & Oncology Physician in South Bend, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
Specialties on file
2
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

621 Memorial Dr Ste 100
South Bend, IN 46601-1063
Phone: (574) 647-1100
Fax: (574) 647-5907
Show map & directions

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

Additional practice locations (1)

  • 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 — (574) 523-2733

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 01021173A (IN)
Hematology & Oncology Physician Taxonomy 207RH0003X

Record details

NPI number1770775009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Oncology Elkhart; Beacon Medical Group Oncology South Bend
NPI enumeratedAugust 10, 2007
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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