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

Beacon Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1528362647

Beacon Medical Group, Inc provides Cardiovascular Disease Physician services in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
Specialties on file
5
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

500 Arcade Ave Ste 400
Elkhart, IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 11-005017-1 (IN)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 11-005017-1 (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 11-005017-1 (IN)
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1528362647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Advanced Cardiovascular Specialists Riverpointe
NPI enumeratedJanuary 4, 2011
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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