Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1033161617

Beacon Medical Group, Inc is a Family Medicine Physician in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4630 Vistula Rd
Mishawaka, IN 46544-4000
Phone: (574) 647-1900
Fax: (574) 254-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01058339A (IN)
Cardiovascular Disease Physician Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1033161617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Schwartz - Wiekamp; Beacon Medical Group Schwartz - Wiekamp
NPI enumeratedMay 16, 2006
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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