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Beacon Medical Group, Inc.

Cardiovascular Disease Physician in Elkhart, IN · enumerated 2011 · authorized official Jeffrey Costello, Cfo.

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

National Provider Identifier

1528362647

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 500 Arcade Ave Ste 400, Elkhart, IN, 46514
Phone (574) 522-2284
Fax (574) 522-3952
Enumeration date Jan 4, 2011
Last updated in NPPES Feb 22, 2024

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 11-005017-1 (IN) Primary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians · License 11-005017-1 (IN) Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 11-005017-1 (IN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
201004850B 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 2024-02-22. Verify at npiregistry.cms.hhs.gov.
Where is Beacon Medical Group, Inc. located?
The practice location on file with NPPES is in Elkhart, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-22.