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

Beacon Medical Group, Inc

Organization Pediatric Hematology & Oncology Physician · NPI 1992756696

Beacon Medical Group, Inc is a Pediatric Hematology & Oncology Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
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 4th Fl
South Bend, IN 46601-1033
Phone: (574) 647-6892
Fax: (574) 647-6895
Show map & directions

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

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 02001713A (IN)

Record details

NPI number1992756696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Pediatric Hematology Oncology
NPI enumeratedMay 15, 2006
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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