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

Beacon Medical Group, Inc

Organization Otolaryngology Physician · NPI 1295087500

Beacon Medical Group, Inc is an Otolaryngology Physician in Elkhart, Indiana. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
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

1753 Fulton St
Elkhart, IN 46514-1927
Phone: (574) 293-9448
Fax: (574) 293-9480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1753 Fulton St, Elkhart, IN 46514-1927 — (574) 293-9448

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X
Otolaryngology Physician Taxonomy 207Y00000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1295087500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
NPI enumeratedOctober 10, 2012
Last updated in NPPESOctober 12, 2017
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in Elkhart