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

Beacon Medical Group, Inc

Organization Vascular & Interventional Radiology Physician · NPI 1487038360

Beacon Medical Group, Inc is a Vascular & Interventional Radiology Physician in Granger, Indiana. Registered with an NPI since 2015.

In the registry since
2015
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

233 Florence Ave
Granger, IN 46530-8048
Phone: (574) 647-3990
Fax: (574) 647-3995
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1487038360
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBeacon Health System, Inc
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Vein Specialists
NPI enumeratedJuly 10, 2015
Last updated in NPPESOctober 12, 2017
Mailing address710 E Niles Ave, South Bend, IN 46617-1924