BEACON MEDICAL GROUP, INC.
BEACON MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1770775009, based in South Bend, IN. The organization lists 2 taxonomy classifications, with Radiation Oncology Physician recorded as primary.
Getting there
The practice address on file is 621 MEMORIAL DR STE 100, 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 |
|---|---|---|
| 01021173A | IN | Radiation Oncology Physician primary |
This provider holds licence 01021173A 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 Radiation Oncology covers
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. NUCC Health Care Provider Taxonomy, code 2085R0001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | 01021173A | IN | primary |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | — | — |
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 | 1770775009 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 10, 2007 |
| Last updated | Apr 28, 2023 |
| Status | Active |
| Practice address |
621 MEMORIAL DR STE 100 South Bend, IN 46601 (574) 647-1100 Fax (574) 647-5907 |
| Mailing address |
710 N NILES AVE South Bend, IN 46617 |
| Other identifiers |
300046000
(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 | 7 | 0 | 7 | 7 | 5 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 5 | 7 | 1 | 0 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
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.