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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: July 26, 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 ›

Other Providers at the Same Location NPPES 6

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

MICHELLE F KAUFMAN CNM
Advanced Practice Midwife
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893
SAMANTHA LYNN JESTER CNM
Advanced Practice Midwife
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893
LORA D DEFREESE CNM
Advanced Practice Midwife
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893
HEATHER A. HOSTETLER CNM
Advanced Practice Midwife
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893
DR. DARREN ROBERT DOLLY M.D.
Obstetrics & Gynecology
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893
JULIE B MOTYCKA MD
Obstetrics & Gynecology
1215 LAWN AVE STE 100
ELKHART, IN 46514
Elkhart County (574) 293-2893

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.

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 March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.