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Organization

Beacon Medical Group, Inc.

NPI Record: ActiveObstetrics & Gynecology — Maternal & Fetal Medicine
NPI1710939608
South Bend, Indiana

Provider's NPPES record last updated: February 10, 2026

Overview

Entity Type
Organization
NPI
1710939608
Primary Specialty
Obstetrics & Gynecology — Maternal & Fetal Medicine
Practice Location
South Bend, Indiana
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:48 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Obstetrics & Gynecology

    Maternal & Fetal Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207VM0101X
  • Genetic Counselor, MS

    Other Service Providers

    A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

    Taxonomy code 170300000X
  • Obstetrics & Gynecology

    Allopathic & Osteopathic Physicians

    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

    Taxonomy code 207V00000X
  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Provider-Reported License Information

Obstetrics & Gynecology (Indiana)
01053966A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

100 Navarre Pl Ste 4410

South Bend, Indiana 46601-1171

Phone: (574) 647-6370

Other Names

  • Beacon Medical Group Maternal Fetal Medicine South BendReported August 30, 2013

Record Information

Enumeration Date
May 17, 2006
Provider's NPPES Record Last Updated
February 10, 2026
Certification Date
February 10, 2026
NPISignal NPPES Dataset
August 2026

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