OrganizationActive
Beacon Medical Group, Inc.
NPI 1821222829 · Critical Care Medicine (Internal Medicine) Physician · Elkhart, IN
Provider details
- NPI number
- 1821222829
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Costello, Vp/Cfo(574) 647-3549
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Practice location
500 Arcade Ave Ste 320
Elkhart, IN 46514-2477
Phone: (574) 523-7900
Approximate (ZIP-level) locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Other names (DBA / former)
- Doing business as
- Beacon Bone and Joint Specialists
- Doing business as
- Beacon Medical Group Ent and Audiology Elkhart
- Doing business as
- Beacon Medical Group Ent and Audiology South Bend
- Doing business as
- Beacon Medical Group Hospital Specialties
- Doing business as
- Beacon Medical Group Hospital Specialties
- Doing business as
- Beacon Medical Group Infectious Disease
- Doing business as
- Beacon Medical Group Interventional Radiology and Vascular Specialists
- Doing business as
- Beacon Medical Group Pulmonology and Critical Care South Bend
- Doing business as
- Beacon Medical Group Rheumatology Goshen
Additional practice locations (17)
- 1020 High RdBremen, IN 46506-1093Phone: (574) 309-9967Fax: (574) 309-9968
- 1753 Fulton StElkhart, IN 46514-1927Phone: (574) 293-9448Fax: (574) 293-9480
- 600 East Blvd 4th Fl Hospitalists SteElkhart, IN 46514-2483Phone: (574) 647-3050
- 200 E Jackson Blvd Ste 130Elkhart, IN 46516-3513Phone: (574) 389-5565Fax: (574) 389-5566
- 2222 Rieth Blvd Ste 102Goshen, IN 46526-5869Phone: (574) 214-1004Fax: (574) 309-9968
- 2222 Rieth Blvd Suite 104Goshen, IN 46526-5869Phone: (574) 875-1082Fax: (574) 875-3860
- 3220 Beacon Pkwy Ste 200Granger, IN 46530-7196Phone: (574) 999-8838Fax: (574) 999-8839
- 3220 Beacon Pkwy Ste 220Granger, IN 46530-7196Phone: (574) 999-8838
Registry dates
- Enumerated
- 2009-05-06
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.