Beacon Medical Group-Elkhart East – Family Medicine Physician, NPI 1639196249

Beacon Medical Group-Elkhart East is a healthcare provider. based in Granger, Indiana. specializing in Family Medicine Physician. The organization holds a License No. 06-0050171 (IN). The NPI Number for Beacon Medical Group-Elkhart East is 1639196249

Main info

Organization
Name
Beacon Medical Group-Elkhart East
NPI
1639196249
Phone
(574) 647-1610
Address
3245 HEALTH DR STE 100
Authorized Official
MR. JEFFREY P COSTELLO CFO
Enumeration Date
17 July 2006
Last Update Date
5 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Beacon Medical Group-Elkhart East

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 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

  • County Road 6 East, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465147673

    Phone: (574) 264-9635

    Fax: (574) 262-0398

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 46530)

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Reviews

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Frequently asked questions

What unique ID ties claims to Beacon Medical Group-Elkhart East?
NPI 1639196249 is assigned to Beacon Medical Group-Elkhart East under the national enumeration system.
Is Beacon Medical Group-Elkhart East active in the national directory?
Beacon Medical Group-Elkhart East's public NPI profile is in an active state.
What kind of provider is Beacon Medical Group-Elkhart East?
The page reflects Family Medicine Physician for Beacon Medical Group-Elkhart East. Clinical services aligned with this taxonomy classification.
Where does public data place Beacon Medical Group-Elkhart East?
The snapshot lists Granger, Indiana for Beacon Medical Group-Elkhart East; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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