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BEACON MEDICAL GROUP LAKEVILLE
NPI 1699727545
Family Medicine in Lakeville, IN

Active since May 17, 2006
601 NORTH MICHIGAN STREET, LAKEVILLE, IN 46536(574) 784-8244(574) 784-8632 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Medical Group Lakeville NPPES

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

BEACON MEDICAL GROUP LAKEVILLE (NPI 1699727545) is a healthcare organization registered as a family medicine in Lakeville, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1699727545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address601 NORTH MICHIGAN STREETLakeville, IN 46536
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 784-8244
Fax(574) 784-8632
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 29, 2016
✔ NPI 1699727545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01033081A
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.
601 NORTH MICHIGAN STREET, Lakeville, IN 46536
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Other Names 1

Doing Business AsBeacon Medical Group Lakeville

Other Identifiers 2

Medicaid200188380AIN
Medicare PIN167490IN

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

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 1699727545. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Beacon Medical Group Lakeville.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 601 North Michigan Street, Lakeville, IN 46536. The listed phone number is (574) 784-8244.

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

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

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on August 29, 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.