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

Beacon Medical Group, Inc

Organization Obstetrics & Gynecology Physician · NPI 1316073372

Beacon Medical Group, Inc is an Obstetrics & Gynecology Physician in Elkhart, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
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

1215 Lawn Ave Ste 100
Elkhart, IN 46514-2450
Phone: (574) 293-2893
Fax: (574) 293-1298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2405 W Lexington Ave, Elkhart, IN 46514-1417 — (574) 524-7575
  • 1215 Lawn Ave Ste 110, Elkhart, IN 46514-2493 — (574) 524-7570

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 07-005017-1 (IN)
Family Nurse Practitioner Taxonomy 363LF0000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1316073372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Obgyn River Oaks; Beacon Medical Group Obgyn River Oaks Lawn Aenue; Beacon Medical Group Obstetrics & Gynecology Elkhart
NPI enumeratedFebruary 26, 2007
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in Elkhart