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BEACON MEDICAL GROUP CONCORD SPECIALTY CLINIC
NPI 1679980320
Internal Medicine - Cardiovascular Disease in Elkhart, IN

Active since July 15, 2014
25651 COUNTY ROAD 20, ELKHART, IN 46517(574) 524-7128(574) 296-6522 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Beacon Medical Group Concord Specialty Clinic NPPES

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

BEACON MEDICAL GROUP CONCORD SPECIALTY CLINIC (NPI 1679980320) is a healthcare organization registered as a cardiovascular disease in Elkhart, Indiana and active in the NPI registry since July 2014. The organization lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679980320
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBEACON MEDICAL GROUP INC.
Location Address25651 COUNTY ROAD 20Elkhart, IN 46517-2310
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 524-7128
Fax(574) 296-6522
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateJuly 15, 2014
Last NPPES UpdateAugust 30, 2016
✔ NPI 1679980320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
25651 COUNTY ROAD 20, Elkhart, IN 46517
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Other Names 1

Doing Business AsBeacon Medical Group Concord Specialty Clinic

Other Identifiers 1

Medicare PIN236040IN

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

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 Concord Specialty Clinic 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 Concord Specialty Clinic, which bills Medicare for the services they deliver. Of these, 169 practice 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
Salvatore Borrelli, M.D.
Family Practice
NPI 1114028743
2120 RIETH BLVD STE C
Goshen, IN 46526
(574) 875-6911
✔ PECOS✔ Accepts Medicare3.7 mi
Tracie Belcher, MSN,NP-C
Nurse Practitioner
NPI 1053042762
2222 RIETH BLVD STE 100
Goshen, IN 46526
(574) 875-1200
✔ PECOS✔ Accepts Medicare3.7 mi
Shumaila Iqbal
Rheumatology
NPI 1841712999
2222 RIETH BLVD STE 104
Goshen, IN 46526
(574) 389-5540
✔ PECOS✔ Accepts Medicare3.7 mi
Julie Chao, MD
Anesthesiology
NPI 1306869482
600 EAST BLVD
Elkhart, IN 46514
(574) 524-8130
✔ PECOS✔ Accepts Medicare4.5 mi
Mahesh Bhattarai, MD
Internal Medicine
NPI 1043900020
600 EAST BLVD FL 4
Elkhart, IN 46514
(574) 389-7393
✔ PECOS4.5 mi
Lauren Das, MD
Radiation Oncology
NPI 1659651735
600 EAST BLVD
Elkhart, IN 46514
(574) 523-7857
✔ PECOS✔ Accepts Medicare4.5 mi
Amanda Huff, DNP, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316517782
600 EAST BLVD
Elkhart, IN 46514
(574) 524-8130
✔ Accepts Medicare4.5 mi
Hanan Lodhi, MD
Hospitalist
NPI 1518510312
600 EAST BLVD 4TH FLOOR HOSPITALISTS STE
Elkhart, IN 46514
(574) 389-7393
✔ PECOS✔ Accepts Medicare4.5 mi
Andrew Lapadat, M.D.
Pediatric Medicine
NPI 1841281748
2606 PEDDLERS VILLAGE RD STE 218
Goshen, IN 46526
(574) 262-0313
✔ PECOS✔ Accepts Medicare4.5 mi
Hafiz Aslam, MD
Hematology/Oncology
NPI 1740761915
1215 LAWN AVE STE 120
Elkhart, IN 46514
(574) 523-2733
✔ PECOS✔ Accepts Medicare4.5 mi
Lora Defreese, CNM
Certified Nurse Midwife (CNM)
NPI 1336618644
1215 LAWN AVE STE 100
Elkhart, IN 46514
(574) 293-2893
✔ PECOS4.5 mi
Julie Motycka, MD
Obstetrics/Gynecology
NPI 1821009259
1215 LAWN AVE STE 100
Elkhart, IN 46514
(574) 293-2893
✔ PECOS4.5 mi
Paul Cheng, MD
Cardiovascular Disease (Cardiology)
NPI 1124052592
500 ARCADE AVE STE 400
Elkhart, IN 46514
(574) 522-2284
✔ PECOS✔ Accepts Medicare4.6 mi
Kamran Javaid, M.D.
Critical Care (Intensivists)
NPI 1306030648
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts Medicare4.6 mi
Peter Kang, MD
General Surgery
NPI 1740635887
500 ARCADE AVE STE 320
Elkhart, IN 46514
(574) 523-7900
✔ PECOS✔ Accepts Medicare4.6 mi
O'dene Lewis, M.B.,B.S
Pulmonary Disease
NPI 1083909089
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts Medicare4.6 mi
Meredith Wierman Schmidt, DO
Infectious Disease
NPI 1477762680
500 ARCADE AVE STE 210
Elkhart, IN 46514
(574) 389-5656
✔ PECOS✔ Accepts Medicare4.6 mi
Drew Michael Donnell, MD
Pain Management
NPI 1447711866
500 ARCADE AVE STE 200
Elkhart, IN 46514
(574) 294-8404
✔ PECOS✔ Accepts Medicare4.6 mi
Abuzafar Arif, M.D.
Gastroenterology
NPI 1447253539
500 ARCADE AVE STE 300
Elkhart, IN 46514
(574) 389-7362
✔ PECOS✔ Accepts Medicare4.6 mi
Walter Halloran, MD
Thoracic Surgery
NPI 1053486191
500 ARCADE AVE STE 230
Elkhart, IN 46514
(574) 522-6565
✔ PECOS✔ Accepts Medicare4.6 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 1679980320. It was assigned to this organization in the NPPES registry on July 15, 2014. The provider is doing business as Beacon Medical Group Concord Specialty Clinic.

Where is Beacon Medical Group Inc. located?

Beacon Medical Group Inc. is located at 25651 County Road 20, Elkhart, IN 46517. The listed phone number is (574) 524-7128.

What is Beacon Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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, 169 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group Inc. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.