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NPI 1699794057

OrganizationActive

Beacon Medical Group, Inc.

NPI 1699794057 · Gastroenterology Physician · Elkhart, IN

Provider details

NPI number: 1699794057
Entity type: Organization
Primary specialty: Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Cfo(574) 647-3549

Specialties & taxonomies

Gastroenterology PhysicianPrimary207RG0100XLicense 06-005017-1 (IN)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204X
Allopathic & Osteopathic Physicians
Urology Physician208800000X
Allopathic & Osteopathic Physicians

Practice location

500 Arcade Ave Ste 300

Elkhart, IN 46514-2486

Phone: (574) 389-7362

Fax: (574) 389-5612

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

3245 Health Dr Ste 100

Granger, IN 46530-1380

Other names (DBA / former)

Doing business as: Beacon Medical Group Gi and Interventional Radiology
Doing business as: Beacon Medical Group Gastroenterology South Bend
Doing business as: Beacon Medical Group Urology Elkhart
Doing business as: Beacon Medical Group Urology Goshen

Additional practice locations (4)

1506 Osolo Rd Ste a
Elkhart, IN 46514-4122
Phone: (574) 295-1131
Fax: (574) 293-8641
105 N Nappanee St
Elkhart, IN 46514-1957
Phone: (574) 206-0305
Fax: (574) 206-0310
1302 College Ave Ste 2
Goshen, IN 46526-4939
Phone: (574) 206-0380
Fax: (574) 206-0389
100 Navarre Pl Ste 4400
South Bend, IN 46601-1100
Phone: (574) 544-5580
Fax: (574) 544-5579

Registry dates

Enumerated: 2006-07-18
Last updated: 2025-06-13
Certified: 2025-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Beacon Medical Group, Inc. — NPI 1699794057, Elkhart, IN | NPI Central