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

Beacon Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1528362647

Beacon Medical Group, Inc is a Cardiovascular Disease Physician in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
Specialties on file
5
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

500 Arcade Ave Ste 400
Elkhart, IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 11-005017-1 (IN)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 11-005017-1 (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 11-005017-1 (IN)
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1528362647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Advanced Cardiovascular Specialists Riverpointe
NPI enumeratedJanuary 4, 2011
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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