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Beacon Medical Group, Inc.

Family Medicine Physician in Granger, IN · enumerated 2006 · authorized official Jeffrey Costello, Vp-Cfo.

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

National Provider Identifier

1053361543

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 6913 N Main St Ste 300, Granger, IN, 46530
Phone (574) 647-1500
Fax (574) 647-2567
Enumeration date May 12, 2006
Last updated in NPPES Jun 12, 2026

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
300002852 Medicaid IN -
100224050C Medicaid IN -
300015362 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

Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (Vp-Cfo) as the authorized official for this organization.
What is the NPI number for Beacon Medical Group, Inc.?
The NPI for Beacon Medical Group, Inc. is 1053361543, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-12.