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 1972831311

Beacon Medical Group, Inc is a Cardiovascular Disease Physician in Plymouth, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
Specialties on file
2
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

2855 Miller Dr Ste 121
Plymouth, IN 46563-8091
Phone: (574) 647-1600
Fax: (574) 237-6069
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 01045628A (IN)
Rheumatology Physician Taxonomy 207RR0500X · Licence 01061323A (IN)

Record details

NPI number1972831311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp/Cfo · (574) 647-3549
Other names Beacon Medical Group Specialists Plymouth
NPI enumeratedNovember 23, 2009
Last updated in NPPESAugust 30, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in Plymouth