Beacon Medical Group Specialties Mishawaka – Family Medicine Physician, NPI 1275550899

Beacon Medical Group Specialties Mishawaka is a healthcare provider. based in Mishawaka, Indiana. specializing in Family Medicine Physician. The organization holds a License No. 06-005017-1 (IN). The NPI Number for Beacon Medical Group Specialties Mishawaka is 1275550899

Main info

Organization
Name
Beacon Medical Group Specialties Mishawaka
NPI
1275550899
Phone
(574) 584-2812
Address
202 Lincolnway E Ste 201
Authorized Official
MR. JEFFREY P COSTELLO CFO
Enumeration Date
17 July 2006
Last Update Date
18 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for Beacon Medical Group Specialties Mishawaka

  • 202 Lincolnway E Ste 201

    Mishawaka, IN 465442079

    Phone: (574) 584-2812

    Fax: (574) 584-2813

    Type: Location

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-2129

    Type: Mailing

  • Lincolnway West, Mishawaka, Saint Joseph County, Indiana, 46561, United States

    MISHAWAKA, IN 465444249

    Phone: (574) 584-2812

    Fax: (574) 584-2813

    Type: Location

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46544)

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Reviews

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Frequently asked questions

How is Beacon Medical Group Specialties Mishawaka identified in CMS data?
CMS-hosted NPPES data lists Beacon Medical Group Specialties Mishawaka with NPI 1275550899.
Does CMS list Beacon Medical Group Specialties Mishawaka as active?
Yes — Beacon Medical Group Specialties Mishawaka is active in the NPI listing used on this page.
What is Beacon Medical Group Specialties Mishawaka best known for clinically?
Directory data describes Beacon Medical Group Specialties Mishawaka with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Beacon Medical Group Specialties Mishawaka list a practice location?
Patients near Mishawaka, Indiana may find Beacon Medical Group Specialties Mishawaka in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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