Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beacon Medical Group, Inc.

Cardiovascular Disease Physician in Plymouth, IN · enumerated 2009 · authorized official Jeffrey Costello, Vp/Cfo.

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

National Provider Identifier

1972831311

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Medical Group, Inc.

Other name <Unavail>

Practice address 2855 Miller Dr, Suite 121, Plymouth, IN, 46563

Phone (574) 647-1600

Fax (574) 237-6069

Enumeration date Nov 23, 2009

Last updated in NPPES Aug 30, 2016

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 01045628A (IN) Primary

207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians · License 01061323A (IN) Secondary

Authorized official

Name Jeffrey Costello

Title Vp/Cfo

Phone (574) 647-3549

Other identifiers

Identifier	Type	State	Issuer
100092700C	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 2016-08-30. Verify at npiregistry.cms.hhs.gov.

Where is Beacon Medical Group, Inc. located?

The practice location on file with NPPES is in Plymouth, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-30.