BEACON MEDICAL GROUP, INC.
BEACON MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1548415474, based in South Bend, IN. The organization lists 7 taxonomy classifications, with Pediatrics Physician recorded as primary.
Getting there
The practice address on file is 100 NAVARRE PL STE 5550, South Bend, IN 46601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01065535A | IN | Pediatrics Physician primary |
This provider holds licence 01065535A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatrics covers
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | 01065535A | IN | primary |
| 103T00000X | Psychologist | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | — | — | |
| 133V00000X | Registered Dietitian | — | — | |
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | — | — | |
| 2080P0214X | Pediatric Pulmonology Physician Pediatric Pulmonology | — | — | |
| 363L00000X | Nurse Practitioner | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1548415474 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 19, 2008 |
| Last updated | Jul 21, 2025 |
| Status | Active |
| Practice address |
100 NAVARRE PL STE 5550 South Bend, IN 46601 (574) 647-2550 Fax (574) 647-1129 |
| Mailing address |
3245 HEALTH DR STE 100 Granger, IN 46530 |
| Other identifiers |
200928880A
· Medicaid (IN) 300069919 · Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 4 | 8 | 4 | 1 | 5 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 8 | 8 | 8 | 1 | 1 | 4 | 5 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.