Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1033161617

Beacon Medical Group, Inc provides Family Medicine Physician services in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4630 Vistula Rd
Mishawaka, IN 46544-4000
Phone: (574) 647-1900
Fax: (574) 254-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01058339A (IN)
Cardiovascular Disease Physician Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1033161617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Schwartz - Wiekamp; Beacon Medical Group Schwartz - Wiekamp
NPI enumeratedMay 16, 2006
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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