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BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100
NPI 1306899554
Internal Medicine - Endocrinology, Diabetes & Metabolism in Granger, IN

Active since May 18, 2006
6913 N MAIN ST STE 100, GRANGER, IN 46530(574) 647-6400(574) 647-2951 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Medical Group Specialists Main Suite 100 NPPES

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

BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100 (NPI 1306899554) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Granger, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1306899554
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address6913 N MAIN ST STE 100Granger, IN 46530
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-6400
Fax(574) 647-2951
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 9, 2019
✔ NPI 1306899554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
6913 N MAIN ST STE 100, Granger, IN 46530
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Other Names 1

Doing Business AsBeacon Medical Group Specialists Main Suite 100

Other Identifiers 1

Medicaid100224050DIN

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

Other Providers at the Same Location NPPES 2

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

MRS. JENELLE HALEY STEFANSKI FNP-BC
Nurse Practitioner (Family)
6913 N MAIN ST STE 100
GRANGER, IN 46530
St. Joseph County (574) 647-6400
KARI LEA SCULATI FNP-BC
Nurse Practitioner (Family)
6913 N MAIN ST STE 100
GRANGER, IN 46530
St. Joseph County (574) 647-3376

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 1306899554. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Beacon Medical Group Specialists Main Suite 100.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 6913 N Main St Ste 100, Granger, IN 46530. The listed phone number is (574) 647-6400.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.