BEACON MEDICAL GROUP, INC.
BEACON MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1710939608, based in South Bend, IN. The organization lists 5 taxonomy classifications, with Maternal & Fetal Medicine Physician recorded as primary.
Getting there
The practice address on file is 100 NAVARRE PL STE 4410, 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 |
|---|---|---|
| 01053966A | IN | Maternal & Fetal Medicine Physician primary |
This provider holds licence 01053966A 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 Maternal & Fetal Medicine covers
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. NUCC Health Care Provider Taxonomy, code 207VM0101X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207VM0101X | Maternal & Fetal Medicine Physician Maternal & Fetal Medicine | 01053966A | IN | primary |
| 363LF0000X | Family Nurse Practitioner Family | — | — | |
| 170300000X | Genetic Counselor (M.S.) | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | — | — |
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 | 1710939608 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 17, 2006 |
| Last updated | Feb 10, 2026 |
| Status | Active |
| Practice address |
100 NAVARRE PL STE 4410 South Bend, IN 46601 (574) 647-6370 Fax (574) 647-6373 |
| Mailing address |
3245 HEALTH DR STE 100 Granger, IN 46530 |
| Other identifiers |
300125576
(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 | 7 | 1 | 0 | 9 | 3 | 9 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 9 | 3 | 9 | 6 | 0 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
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.