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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: August 09, 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
Phone(574) 647-3990
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

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 8 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.