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BEACON MEDICAL GROUP, INC.
NPI 1639196249
Family Medicine in Elkhart, IN

Active since July 17, 2006
3301 COUNTY ROAD 6 E, ELKHART, IN 46514(574) 264-9635(574) 262-0398 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2025, Sep 21, 2016 (2 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

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

BEACON MEDICAL GROUP, INC. (NPI 1639196249), doing business as Beacon Medical Group-elkhart East, is a healthcare organization registered as a family medicine in Elkhart, Indiana and active in the NPI registry since July 2006. The organization lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639196249
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address3301 COUNTY ROAD 6 EElkhart, IN 46514-7673
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 264-9635
Fax(574) 262-0398
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1639196249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3301 COUNTY ROAD 6 E, Elkhart, IN 46514
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Other Names 1

Doing Business AsBeacon Medical Group-elkhart East

Other Identifiers 2

Medicaid100114000AIN
OtherANTHEM BCBSIN · 000000110759

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, Inc. 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, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 154 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
Dylan Garvey, FNP
Nurse Practitioner
NPI 1679157929
3301 COUNTY ROAD 6 E
Elkhart, IN 46514
(574) 266-5342
✔ PECOS✔ Accepts MedicareSame address
Rachel Kratzer, FNP
Nurse Practitioner
NPI 1447528799
3301 COUNTY ROAD 6 E STE 100
Elkhart, IN 46514
(574) 266-5342
✔ PECOS✔ Accepts MedicareSame address
Andrew Lapadat, M.D.
Pediatric Medicine
NPI 1841281748
2606 PEDDLERS VILLAGE RD STE 218
Goshen, IN 46526
(574) 262-0313
✔ PECOS✔ Accepts Medicare0.4 mi
Tracie Belcher, MSN,NP-C
Nurse Practitioner
NPI 1053042762
2222 RIETH BLVD STE 100
Goshen, IN 46526
(574) 875-1200
✔ PECOS✔ Accepts Medicare0.5 mi
Katie Schramm, FNP-BC
Nurse Practitioner
NPI 1033668561
2222 RIETH BLVD STE 100
Goshen, IN 46526
(574) 875-1200
✔ PECOS✔ Accepts Medicare0.5 mi
Salvatore Borrelli, M.D.
Family Practice
NPI 1114028743
2120 RIETH BLVD STE C
Goshen, IN 46526
(574) 875-6911
✔ PECOS✔ Accepts Medicare0.5 mi
Shumaila Iqbal
Rheumatology
NPI 1841712999
2222 RIETH BLVD STE 104
Goshen, IN 46526
(574) 389-5540
✔ PECOS✔ Accepts Medicare0.6 mi
Kimberlee Acton, FNP-C
Nurse Practitioner
NPI 1225510522
2120 RIETH BLVD STE C
Goshen, IN 46526
(574) 875-6911
✔ PECOS✔ Accepts Medicare0.6 mi
Kathryn Bachman, DO
Family Practice
NPI 1124430459
2120 RIETH BLVD STE A
Goshen, IN 46526
(574) 875-5126
✔ PECOS✔ Accepts Medicare0.6 mi
Julia Chairez, FNP-BC
Nurse Practitioner
NPI 1902430580
2120 RIETH BLVD STE A
Goshen, IN 46526
(574) 875-5126
✔ PECOS✔ Accepts Medicare0.6 mi
Zach Dubois, DO
Family Practice
NPI 1134878853
2120 RIETH BLVD STE C
Goshen, IN 46526
(574) 875-6911
✔ PECOS✔ Accepts Medicare0.6 mi
Fernando Escovar, M.D.
Family Practice
NPI 1760481402
2120 RIETH BLVD STE C
Goshen, IN 46526
(574) 875-6911
✔ PECOS✔ Accepts Medicare0.6 mi
Rachel Knafel, NP
Nurse Practitioner
NPI 1760848451
2120 RIETH BLVD STE A
Goshen, IN 46526
(574) 875-5126
✔ PECOS✔ Accepts Medicare0.6 mi
Laura Munkel, M.D.
Family Practice
NPI 1104825223
2120 RIETH BLVD SUITE A
Goshen, IN 46526
(574) 875-5126
✔ PECOS✔ Accepts Medicare0.6 mi
Michelle Shelly, MD
Family Practice
NPI 1801863618
2120 RIETH BLVD STE A
Goshen, IN 46526
(574) 875-5126
✔ PECOS✔ Accepts Medicare0.6 mi
Anna Grady, MD
Obstetrics/Gynecology
NPI 1346653334
213 MIDDLEBURY ST
Goshen, IN 46528
(574) 534-3300
✔ PECOS✔ Accepts Medicare3.0 mi
Sheila Fleming, NP
Nurse Practitioner
NPI 1326231689
1135 PROFESSIONAL DR
Goshen, IN 46526
(574) 364-4600
✔ PECOS✔ Accepts Medicare3.4 mi
Lindsay Vasil, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093169096
1513 E JACKSON BLVD
Elkhart, IN 46516
(574) 523-3193
✔ Accepts Medicare6.5 mi
Deborah Nethercutt, NP-C
Nurse Practitioner
NPI 1104312172
1621 W BEARDSLEY AVE
Elkhart, IN 46514
(574) 206-4156
✔ PECOS✔ Accepts Medicare7.0 mi
Peter Fretz, MD
Urology
NPI 1538148838
1506 OSOLO ROAD STE A
Elkhart, IN 46514
(574) 295-1131
✔ PECOS✔ Accepts Medicare7.0 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 1639196249. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Beacon Medical Group-Elkhart East.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 3301 County Road 6 E, Elkhart, IN 46514. The listed phone number is (574) 264-9635.

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

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

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, 2 practice at this address and 154 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 February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.