BEACON MEDICAL GROUP VEIN SPECIALISTS
NPI 1487038360
Radiology - Vascular & Interventional Radiology in Granger, IN

Active since July 10, 2015
233 FLORENCE AVE, GRANGER, IN 46530(574) 647-3990(574) 647-3995 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2016, Mar 18, 2016 (2 updates tracked since 2016).

About Beacon Medical Group Vein Specialists NPPES

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

BEACON MEDICAL GROUP VEIN SPECIALISTS (NPI 1487038360) is a healthcare organization registered as a vascular & interventional radiology in Granger, Indiana and active in the NPI registry since July 2015. The organization lists Jeffrey P. Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487038360
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address233 FLORENCE AVEGranger, IN 46530-8048
Mailing Address710 E Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Fax(574) 647-3995
Organization SubpartYesParent: Beacon Health System, Inc.
Authorized OfficialJeffrey P. CostelloCfo · (574) 647-3549
Enumeration DateJuly 10, 2015
Last NPPES UpdateOctober 12, 20172 updates tracked since enumeration
✔ NPI 1487038360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
233 FLORENCE AVE, Granger, IN 46530

Other Names 1

Doing Business AsBeacon Medical Group Vein Specialists

Other Identifiers 1

Medicare PINM100069308IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 Vein Specialists 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 Vein Specialists, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 426 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
Pediatric Medicine
NPI 1134399025
229 FLORENCE AVE STE 233
Granger, IN 46530
(574) 855-4575
✔ PECOSSame address
Podiatry
NPI 1689055451
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Emergency Medicine
NPI 1710064241
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1194305474
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1114378635
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1558792382
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1770146185
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1255371514
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1497328504
6913 N MAIN ST
Granger, IN 46530
(574) 647-1550
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1033524905
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1952509853
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1982691747
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS0.4 mi
Family Practice
NPI 1942799838
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1285622373
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1134214240
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS0.4 mi
Family Practice
NPI 1558395079
6913 N MAIN ST STE 300
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1407580533
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS✔ Accepts Medicare0.4 mi
Pediatric Medicine
NPI 1467610352
6913 N MAIN ST STE 200
Granger, IN 46530
(574) 647-4540
✔ PECOS0.4 mi
Rheumatology
NPI 1578552386
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare0.4 mi
Rheumatology
NPI 1053396127
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare0.4 mi
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 1487038360. It was assigned to this organization in the NPPES registry on July 10, 2015. The provider is doing business as Beacon Medical Group Vein Specialists.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 233 Florence Ave, Granger, IN 46530. The listed phone number is (574) 647-3990.

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

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

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, 1 practice at this address and 426 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 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 October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.