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BEACON MEDICAL GROUP OBGYN RIVER OAKS LAWN AENUE
NPI 1316073372
Obstetrics & Gynecology in Elkhart, IN

Active since February 26, 2007
1215 LAWN AVE STE 100, ELKHART, IN 46514(574) 293-2893(574) 293-1298 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, Dec 16, 2022, Oct 27, 2016 (3 updates tracked since 2016).

About Beacon Medical Group Obgyn River Oaks Lawn Aenue NPPES

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

BEACON MEDICAL GROUP OBGYN RIVER OAKS LAWN AENUE (NPI 1316073372) is a healthcare organization registered as an obstetrics & gynecology in Elkhart, Indiana and active in the NPI registry since February 2007. The organization maintains 2 additional practice locations and lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316073372
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address1215 LAWN AVE STE 100Elkhart, IN 46514-2450
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 293-2893
Fax(574) 293-1298
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1316073372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 07-005017-1
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1215 LAWN AVE STE 100, Elkhart, IN 46514
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Other Names 3

Doing Business AsBeacon Medical Group Obgyn River Oaks Lawn Aenue
Doing Business AsBeacon Medical Group Obgyn River Oaks
Doing Business AsBeacon Medical Group Obstetrics & Gynecology Elkhart

Secondary Practice Locations 2

Location 12405 W Lexington AveElkhart, IN 46514-1417 · Phone (574) 524-7575 · Fax (574) 524-7576
Location 21215 Lawn Ave Ste 110Elkhart, IN 46514-2493 · Phone (574) 524-7570 · Fax (574) 524-7571

Other Identifiers 2

Medicaid200853000AIN
Other000000519823IN · Anthem Bcbs

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Medical Group Obgyn River Oaks Lawn Aenue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group Obgyn River Oaks Lawn Aenue, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 181 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188
Family Practice113
Certified Registered Nurse Anesthetist (CRNA)49
Obstetrics/Gynecology49
Internal Medicine42
Neurology29
Pediatric Medicine28
Psychiatry21
37 other specialties215

Nearest to this location (20)

See all 734
Drew Michael Donnell, MD
Pain Management
NPI 1447711866
500 ARCADE AVE STE 200
Elkhart, IN 46514
(574) 294-8404
✔ PECOS✔ Accepts MedicareSame address
Muhammad Owais Abdul Ghani, MD
General Surgery
NPI 1043893225
500 ARCADE AVE STE 320
Elkhart, IN 46514
(574) 523-7900
✔ PECOSSame address
Amanda Lemmers, FNP-C
Nurse Practitioner
NPI 1710722236
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts MedicareSame address
Jennifer Potter, MS, ANP-BC
Nurse Practitioner
NPI 1417209347
500 ARCADE AVE STE 200
Elkhart, IN 46514
(574) 294-8404
✔ PECOS✔ Accepts MedicareSame address
Johna Radford, FNP-BC
Nurse Practitioner
NPI 1982247540
500 ARCADE AVE STE 320
Elkhart, IN 46514
(574) 523-7900
✔ PECOS✔ Accepts MedicareSame address
Troy Weirick, MD
Cardiovascular Disease (Cardiology)
NPI 1679717771
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts MedicareSame address
Edwin Annan, MD
Pulmonary Disease
NPI 1528245040
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
Abuzafar Arif, M.D.
Gastroenterology
NPI 1447253539
500 ARCADE AVE STE 300
Elkhart, IN 46514
(574) 389-7362
✔ PECOS✔ Accepts MedicareSame address
Colin Fath, M.D.
General Surgery
NPI 1811300817
500 ARCADE AVE STE 320
Elkhart, IN 46514
(574) 523-7900
✔ PECOSSame address
Dennis Fitzpatrick, MD
Anesthesiology
NPI 1831180306
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
Walter Halloran, MD
Thoracic Surgery
NPI 1053486191
500 ARCADE AVE STE 230
Elkhart, IN 46514
(574) 522-6565
✔ PECOS✔ Accepts MedicareSame address
Asma Iftikhar, M.D.
Critical Care (Intensivists)
NPI 1427344761
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
Gudurutt Kulkarni, M.D.
Cardiac Electrophysiology
NPI 1326042102
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts MedicareSame address
Charles Mathis, MD
Cardiovascular Disease (Cardiology)
NPI 1326042029
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts MedicareSame address
Joseph Schnittker, MD
Neurosurgery
NPI 1629073853
500 ARCADE AVE STE 200
Elkhart, IN 46514
(574) 232-7227
✔ PECOS✔ Accepts MedicareSame address
Amjad Syed, MD
Thoracic Surgery
NPI 1932367083
500 ARCADE AVE STE 230
Elkhart, IN 46514
(574) 522-6565
✔ PECOS✔ Accepts MedicareSame address
Adil Wani, MD
Interventional Cardiology
NPI 1114335866
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts MedicareSame address
Kamran Javaid, M.D.
Critical Care (Intensivists)
NPI 1306030648
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
O'dene Lewis, M.B.,B.S
Pulmonary Disease
NPI 1083909089
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
Meredith Wierman Schmidt, DO
Infectious Disease
NPI 1477762680
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts MedicareSame address
See all 734 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1316073372. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Beacon Medical Group Obgyn River Oaks Lawn Aenue, Beacon Medical Group OBGYN River Oaks and Beacon Medical Group Obstetrics & Gynecology Elkhart.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 1215 Lawn Ave Ste 100, Elkhart, IN 46514. The listed phone number is (574) 293-2893.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 44 practice at this address and 181 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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 March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.