OrganizationActive
Beacon Medical Group, Inc.
NPI 1861816761 · Pediatrics Physician · Elkhart, IN
Beacon Medical Group, Inc. is a Pediatrics Physician organization in Elkhart, IN (NPI 1861816761).
Provider details
- NPI number
- 1861816761
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Costello, Cfo(574) 647-3549
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1627 E Bristol St
Elkhart, IN 46514-3817
Phone: (574) 262-0313
Fax: (574) 262-8163
Street-level locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Other names (DBA / former)
- Doing business as
- Beacon Medical Group Pediatrics Bristol Street
- Doing business as
- Beacon Medical Group Pediatrics Bristol Street
- Doing business as
- Beacon Medical Group Pediatrics Goshen
- Doing business as
- Beacon Medical Group Pediatrics Rieth Blvd
Additional practice locations (2)
- 2120 Rieth Blvd Ste 200Goshen, IN 46526-5867Phone: (574) 262-0313Fax: (574) 262-8163
- 2606 Peddlers Village Rd Ste 218Goshen, IN 46526-1004Phone: (574) 262-0313Fax: (574) 262-8163
Registry dates
- Enumerated
- 2014-02-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Beacon Medical Group, Inc.'s NPI number?
- Beacon Medical Group, Inc.'s National Provider Identifier (NPI) is 1861816761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Medical Group, Inc.?
- Beacon Medical Group, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Beacon Medical Group, Inc. located?
- Beacon Medical Group, Inc.'s practice location on file with NPPES is 1627 E Bristol St, Elkhart, IN 46514-3817.
- What is Beacon Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Beacon Medical Group, Inc. is (574) 262-0313.
- Who is the authorized official for Beacon Medical Group, Inc.?
- The authorized official listed on Beacon Medical Group, Inc.'s NPPES record is Jeffrey Costello, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Medical Group, Inc.'s NPI active?
- Yes — Beacon Medical Group, Inc.'s NPI (1861816761) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.