Beacon Medical Group Goshen – Family Medicine Physician, NPI 1689691297

Beacon Medical Group Goshen is a healthcare provider. based in Goshen, Indiana. specializing in Family Medicine Physician. The organization holds a License No. 06-005017-1 (IN). The NPI Number for Beacon Medical Group Goshen is 1689691297

Main info

Organization
Name
Beacon Medical Group Goshen
NPI
1689691297
Phone
(574) 875-6911
Address
2120 RIETH BLVD
Authorized Official
MR. JEFFREY P COSTELLO CFO
Enumeration Date
17 July 2006
Last Update Date
4 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Beacon Medical Group Goshen

  • 2120, Rieth Boulevard, Goshen, Elkhart County, Indiana, 46526, United States

    SUITE C

    GOSHEN, IN 465265858

    Phone: (574) 875-6911

    Fax: (574) 875-1057

    Type: Location

  • 2120 RIETH BLVD STE C

    GOSHEN, IN 465265858

    Phone: (574) 875-6911

    Fax: (574) 875-1057

    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)

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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 46526)

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Reviews

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Frequently asked questions

Is Beacon Medical Group Goshen listed with a National Provider Identifier?
Yes — Beacon Medical Group Goshen has NPI 1689691297 on file in the registry.
Is there an active status for Beacon Medical Group Goshen?
For scheduling context, Beacon Medical Group Goshen is shown as active in the registry.
What kind of doctor is Beacon Medical Group Goshen?
Beacon Medical Group Goshen is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is Beacon Medical Group Goshen registered?
Use Goshen, Indiana as the headline location for Beacon Medical Group Goshen here.
When was this NPI issued?
Enumeration for Beacon Medical Group Goshen is noted as July 17, 2006 where the registry provides it.

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