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Beacon Medical Group, Inc.

Family Medicine Physician in Mishawaka, IN · enumerated 2006 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1275550899

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 5314 Lincolnway E, Mishawaka, IN, 46544
Phone (574) 584-2812
Fax (574) 584-2813
Enumeration date Jul 17, 2006
Last updated in NPPES Mar 18, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
300127345 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 2026-03-18. Verify at npiregistry.cms.hhs.gov.
Where is Beacon Medical Group, Inc. located?
The practice location on file with NPPES is in Mishawaka, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-18.