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

Beacon Medical Group, Inc

Organization Registered Dietitian · NPI 1053361543

Beacon Medical Group, Inc is a Registered Dietitian in Granger, Indiana. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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

6913 N Main St Ste 300
Granger, IN 46530-8039
Phone: (574) 647-1500
Fax: (574) 647-2567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6901 N Main St Ste 102, Granger, IN 46530-8022 — (574) 647-4500
  • 6913 N Main St Ste 200, Granger, IN 46530-8039 — (574) 647-2567

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Registered Dietitian Taxonomy 133V00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Rheumatology Physician Taxonomy 207RR0500X
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1053361543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Main Street; Beacon Medical Group Pediatrics Main Street
NPI enumeratedMay 12, 2006
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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