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BEACON MEDICAL GROUP, INC.
NPI 1053361543
Family Medicine in Granger, IN

Active since May 12, 2006
6913 N MAIN ST STE 300, GRANGER, IN 46530(574) 647-1500(574) 647-2567 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Mar 9, 2021, Jun 27, 2018 and 1 more (4 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP, INC. (NPI 1053361543), doing business as Beacon Medical Group Main Street, is a healthcare organization registered as a family medicine in Granger, Indiana and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1053361543
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address6913 N MAIN ST STE 300Granger, IN 46530-8039
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 647-1500
Fax(574) 647-2567
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 12, 20264 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1053361543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6913 N MAIN ST STE 300, Granger, IN 46530
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Other Names 2

Doing Business AsBeacon Medical Group Main Street
Doing Business AsBeacon Medical Group Pediatrics Main Street

Secondary Practice Locations 2

Location 16913 N Main St Ste 200Granger, IN 46530-8039 · Phone (574) 647-2567 · Fax (574) 647-2971
Location 26901 N Main St Ste 102Granger, IN 46530-8022 · Phone (574) 647-4500 · Fax (574) 647-6354

Other Identifiers 3

Medicaid300002852IN
Medicaid100224050CIN
Medicaid300015362IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN GEORGE
Family Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
DR. SCOTT MICHAEL ESHOWSKY M.D.
Family Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
DR. NGAN THI VAN M.D.
Internal Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
DR. ANDREW CLARK MCAFEE M.D.
Family Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
JONATHAN H. ABIERA II DPM
Podiatrist (Foot & Ankle Surgery)
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
CHINYAMA MUNAKAMPE MD
Family Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
MRS. MICHELLE JEAN STREB RN, FNP-BC
Nurse Practitioner (Family)
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500
MARY ELIZABETH CAMPBELL MD, MPH
Family Medicine
6913 N MAIN ST STE 300
GRANGER, IN 46530
St. Joseph County (574) 647-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1053361543. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Beacon Medical Group Main Street and Beacon Medical Group Pediatrics Main Street.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 6913 N Main St Ste 300, Granger, IN 46530. The listed phone number is (574) 647-1500.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.