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

Beacon Medical Group, Inc

Organization Pediatrics Physician · NPI 1861816761

Beacon Medical Group, Inc is a Pediatrics Physician in Elkhart, Indiana. Works from 3 locations. 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

1627 E Bristol St
Elkhart, IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2606 Peddlers Village Rd Ste 218, Goshen, IN 46526-1004 — (574) 262-0313
  • 2120 Rieth Blvd Ste 200, Goshen, IN 46526-5867 — (574) 262-0313

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1861816761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Pediatrics Bristol Street; Beacon Medical Group Pediatrics Bristol Street; Beacon Medical Group Pediatrics Goshen; Beacon Medical Group Pediatrics Rieth Blvd
NPI enumeratedFebruary 12, 2014
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Other providers in Elkhart