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Beacon Medical Group, Inc.

Otolaryngology/Facial Plastic Surgery Physician in Elkhart, IN · enumerated 2012 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1295087500

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Practice address 1753 Fulton St, Elkhart, IN, 46514
Fax (574) 293-9480
Enumeration date Oct 10, 2012
Last updated in NPPES Oct 12, 2017

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Primary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Jeffrey Costello
Title Cfo

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

Where is Beacon Medical Group, Inc. located?
The practice location on file with NPPES is in Elkhart, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-12. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-12.