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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1639196249

Beacon Medical Group, Inc is a Family Medicine Physician in Elkhart, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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

3301 County Road 6 E
Elkhart, IN 46514-7673
Phone: (574) 264-9635
Fax: (574) 262-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nephrology Physician Taxonomy 207RN0300X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1639196249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group-Elkhart East; Beacon Medical Group-Elkhart East
NPI enumeratedJuly 17, 2006
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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