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Beacon Medical Group, Inc.

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

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

National Provider Identifier

1689691297

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 2120 Rieth Blvd Ste C, Goshen, IN, 46526
Phone (574) 875-6911
Fax (574) 875-1057
Enumeration date Jul 17, 2006
Last updated in NPPES Mar 4, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
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
000000110757 Other IN ANTHEM BCBS
200263280A 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

Who is the authorized official for Beacon Medical Group, Inc.?
NPPES lists Jeffrey Costello (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 1689691297, a Type 2 (organization) record in the CMS NPPES registry.

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