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Beacon Medical Group, Inc.

Obstetrics & Gynecology Physician in Elkhart, IN · enumerated 2007 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1316073372

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 1215 Lawn Ave Ste 100, Elkhart, IN, 46514
Fax (574) 293-1298
Enumeration date Feb 26, 2007
Last updated in NPPES Mar 4, 2024

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 07-005017-1 (IN) Primary
363LF0000X Family 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

Other identifiers

Identifier Type State Issuer
200853000A Medicaid IN -
000000519823 Other IN ANTHEM BCBS

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 1316073372, 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 2024-03-04.