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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: August 09, 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

Other Providers at the Same Location NPPES 4

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

HODA RAHMANI MD
Family Medicine
25651 COUNTY ROAD 20
ELKHART, IN 46517
Elkhart County (571) 244-2261
CONCORD FAMILY MEDICINE PC
Family Medicine
25651 COUNTY ROAD 20
ELKHART, IN 46517
Elkhart County (574) 522-1201
PRIVIA MEDICAL GROUP INDIANA, LLC
Clinic/Center (Multi-Specialty)
25651 COUNTY ROAD 20
ELKHART, IN 46517
Elkhart County (574) 522-1201
HARLEY WAYNE YODER M.D.
Family Medicine
25651 COUNTY ROAD 20
ELKHART, IN 46517
Elkhart County (574) 522-1201

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.

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 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.