BEACON MEDICAL GROUP LAPORTE
NPI 1639129117
Family Medicine in La Porte, IN

Q: What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1639129117. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Beacon Medical Group Laporte.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 12, 2006

900 I ST, LA PORTE, IN 46350(219) 324-1700(219) 324-1710 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Aug 29, 2016 (2 updates tracked since 2016).

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About Beacon Medical Group Laporte NPPES

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

BEACON MEDICAL GROUP LAPORTE (NPI 1639129117) is a healthcare organization registered as a family medicine in La Porte, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1639129117

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address900 I STLa Porte, IN 46350-5533

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(219) 324-1700

Fax(219) 324-1710

Organization SubpartNo

Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549

Enumeration DateMay 12, 2006

Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1639129117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01056419A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

900 I ST, La Porte, IN 46350

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Other Names 1

Doing Business AsBeacon Medical Group Laporte

Other Identifiers 1

Medicaid100162390AIN

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 20

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

MEMORIAL HEALTH SYSTEM, INC.

Physical Therapist

900 I ST
LA PORTE, IN 46350

Laporte County (219) 324-1700

LINK PSYCHOLOGICAL & CONSULTING SERVICE, P.C.

Counselor (Mental Health)

900 I ST
LA PORTE, IN 46350

Laporte County (219) 324-1700

JENNIFER ANN ALDERINK DO

Family Medicine

900 I ST
LA PORTE, IN 46350

Laporte County (219) 324-1700

DR. FREEMAN L. FARROW MD

Family Medicine

900 I ST
LA PORTE, IN 46350

Laporte County (219) 324-1700

DR. DIANE MARGARET RICH PT, DPT

Physical Therapist

900 I ST, STE 100
LA PORTE, IN 46350

Laporte County (219) 324-1730

DR. MICHAEL DUANE HOWARD M.D.

Family Medicine

900 I ST
LAPORTE, IN 46350

Laporte County (219) 324-1700

CHRISTOPHER LAWTON FRENTZ PT

Physical Therapist

900 I ST
LAPORTE, IN 46350

Laporte County (219) 324-1950

LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC

Clinic/Center (Ambulatory Surgical)

900 I ST, SUITE 1
LA PORTE, IN 46350

Laporte County (816) 877-2005

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 1639129117. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Beacon Medical Group Laporte.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 900 I St, La Porte, IN 46350. The listed phone number is (219) 324-1700.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 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.