Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beacon Medical Group, Inc.

Q: What is the NPI number for Beacon Medical Group, Inc.?

The NPI for Beacon Medical Group, Inc. is 1639129117, a Type 2 (organization) record in the CMS NPPES registry.

Family Medicine Physician in La Porte, IN · enumerated 2006 · authorized official Jeffrey Costello, Vp-Cfo.

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

National Provider Identifier

1639129117

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Medical Group, Inc.

Other name <Unavail>

Practice address 900 I St, La Porte, IN, 46350

Phone (219) 324-1700

Fax (219) 324-1710

Enumeration date May 12, 2006

Last updated in NPPES Mar 4, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01056419A (IN) Primary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeffrey Costello

Title Vp-Cfo

Phone (574) 647-3549

Other identifiers

Identifier	Type	State	Issuer
100162390A	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Beacon Medical Group, Inc.?

NPPES lists Jeffrey Costello (Vp-Cfo) as the authorized official for this organization.

What is the NPI number for Beacon Medical Group, Inc.?

The NPI for Beacon Medical Group, Inc. is 1639129117, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Thomas Calvin Internal Medicine Physician · Laporte, IN NPI 1750378527 Daniel Edquist Family Medicine Physician · Laporte, IN NPI 1295723542 Michael Howard Family Medicine Physician · Laporte, IN NPI 1245228386 George Kneller Family Medicine Physician · Laporte, IN NPI 1598756256 Carol Schobert Geriatric Medicine (Internal Medicine) Physician · Laporte, IN NPI 1316920820 Kenneth Shively Family Medicine Physician · Laporte, IN NPI 1932183449 Amy Schmidt Physical Therapist · Laporte, IN NPI 1649256371 Heather Hazel Family Medicine Physician · La Porte, IN NPI 1912968504

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-04.