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Beacon Medical Group, Inc.

Family Medicine Physician in Granger, IN · enumerated 2009 · authorized official Jeffrey Costello, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003042318

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 12340 Bittersweet Commons Blvd W, Granger, IN, 46530
Phone (574) 271-8610
Fax (574) 271-8620
Enumeration date Jun 2, 2009
Last updated in NPPES Apr 24, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeffrey Costello
Title Cfo
Phone (574) 647-3549

Other identifiers

Identifier Type State Issuer
000000631897 Other IN ANTHEM
100114000F Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Beacon Medical Group, Inc.?
The NPI for Beacon Medical Group, Inc. is 1003042318, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-24.