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Beacon Medical Group, Inc.

Critical Care Medicine (Internal Medicine) Physician in Elkhart, IN · enumerated 2009 · authorized official Jeffrey Costello, Vp/Cfo.

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

National Provider Identifier

1821222829

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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 320, Elkhart, IN, 46514
Enumeration date May 6, 2009
Last updated in NPPES Mar 31, 2026

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RC0200X Critical Care Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 01049858A (IN) Secondary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 01049858A (IN) Secondary

Authorized official

Name Jeffrey Costello
Title Vp/Cfo

Other identifiers

Identifier Type State Issuer
300070471 Medicaid IN -
300013675 Medicaid IN -
300068062 Medicaid IN -
300013260 Medicaid IN -
300068474 Medicaid IN -
300093527 Medicaid IN -
300013073 Medicaid IN -
300012878 Medicaid IN -
300128004 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

What type of organization is Beacon Medical Group, Inc.?
Beacon Medical Group, Inc. is registered in NPPES as a Critical Care Medicine (Internal Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-31.