Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beacon Medical Group, Inc.

Family Medicine Physician in Edwardsburg, MI · enumerated 2006 · authorized official Jeff Costello, Cfo.

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

National Provider Identifier

1205852365

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Medical Group, Inc.

Other name <Unavail>

Practice address 27082 W Main Street, Edwardsburg, MI, 49112

Phone (269) 663-8288

Fax (269) 663-2426

Enumeration date Jul 14, 2006

Last updated in NPPES May 3, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 06-005017-1 (IN) Primary

Authorized official

Name Jeff Costello

Title Cfo

Phone (574) 647-3549

Other identifiers

Identifier	Type	State	Issuer
080A410090	Medicaid	MI	-
100220310A	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-03. Verify at npiregistry.cms.hhs.gov.

Where is Beacon Medical Group, Inc. located?

The practice location on file with NPPES is in Edwardsburg, MI.

Providers at this address

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Healthy Cocoon Practice Pllc Family Medicine Physician · Edwardsburg, MI NPI 1326731050

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-03.