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 1679980320

Beacon Medical Group Inc is a Cardiovascular Disease Physician in Elkhart, Indiana. Registered with an NPI since 2014.

In the registry since
2014
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

25651 County Road 20
Elkhart, IN 46517-2310
Phone: (574) 524-7128
Fax: (574) 296-6522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1679980320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Concord Specialty Clinic
NPI enumeratedJuly 15, 2014
Last updated in NPPESAugust 30, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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