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 1679980320

Beacon Medical Group Inc provides Cardiovascular Disease Physician services in Elkhart, Indiana. Registered with an NPI since 2014.

In the registry since
2014
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

25651 County Road 20
Elkhart, IN 46517-2310 Not confirmed with CMS for 10 years — call before visiting
Phone: (574) 524-7128
Fax: (574) 296-6522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1679980320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Concord Specialty Clinic
NPI enumeratedJuly 15, 2014
Last updated in NPPESAugust 30, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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