BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY – NPI #1932468352
Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY is a radiologist located in SOUTH BEND, IN. NPPES has assigned the NPI number 1932468352 to BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY on May 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology
The NPI profile was previously updated about 9 years ago on Oct 12, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 14 years ago)
SOUTH BEND, IN 46601-1073 Phone: (574) 647-5200 Fax: (574) 647-5210
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax:
CFO
Phone: (574) 647-3549
Identifiers for BEACON MEDICAL GROUP VASCULAR INTERVENTIONAL RADIOLOGY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IN | 201063130A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0204X - Radiology / Vascular & Interventional Radiology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.