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BEACON MEDICAL GROUP, INC.
NPI 1699794057
Internal Medicine - Gastroenterology in Elkhart, IN

Active since July 18, 2006CLIA Certified · 2 labs
500 ARCADE AVE STE 300, ELKHART, IN 46514(574) 389-7362(574) 389-5612 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2025, Dec 3, 2024, Nov 6, 2024 and 3 more (6 updates tracked since 2020).

About Beacon Medical Group, Inc. NPPES

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

BEACON MEDICAL GROUP, INC. (NPI 1699794057), doing business as Beacon Medical Group Gi And Interventional Radiology, is a healthcare organization registered as a gastroenterology in Elkhart, Indiana and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699794057
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address500 ARCADE AVE STE 300Elkhart, IN 46514-2486
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 389-7362
Fax(574) 389-5612
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 13, 20256 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1699794057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IN · 06-005017-1
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedUrologyTaxonomy 208800000X
500 ARCADE AVE STE 300, Elkhart, IN 46514
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Other Names 4

Doing Business AsBeacon Medical Group Gi And Interventional Radiology
Doing Business AsBeacon Medical Group Gastroenterology South Bend
Doing Business AsBeacon Medical Group Urology Elkhart
Doing Business AsBeacon Medical Group Urology Goshen

Secondary Practice Locations 4

Location 1100 Navarre Pl Ste 4400South Bend, IN 46601-1100 · Phone (574) 544-5580 · Fax (574) 544-5579
Location 2105 N Nappanee StElkhart, IN 46514-1957 · Phone (574) 206-0305 · Fax (574) 206-0310
Location 31302 College Ave Ste 2Goshen, IN 46526-4939 · Phone (574) 206-0380 · Fax (574) 206-0389
Location 41506 Osolo Rd Ste AElkhart, IN 46514-4122 · Phone (574) 295-1131 · Fax (574) 293-8641

Other Identifiers 4

Medicaid300054801IN
Medicaid300042826IN
Medicaid300098369IN
Medicaid300098524IN

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 ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2315648

Beacon Medical Group Urology Goshen · Goshen, IN
Active · expires Dec 16, 2026
CLIA Number15D2315648
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorAnish H. Nayee
Laboratory Phone(574) 206-0380
Laboratory LocationBeacon Medical Group Urology Goshen1302 College Ave, Ste 2, Goshen, IN 46526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2315649

Beacon Medical Group Urology Elkhart · Elkhart, IN
Active · expires Dec 16, 2026
CLIA Number15D2315649
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorAnish H. Nayee
Laboratory Phone(574) 295-1131
Laboratory LocationBeacon Medical Group Urology Elkhart1506 Osolo Rd, Ste A, Elkhart, IN 46514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SUSAN H SILBERMAN OTR,CHT
Occupational Therapist (Hand)
500 ARCADE AVE STE 300
ELKHART, IN 46514
Elkhart County (574) 523-1550
BARBARA JO DITMER C.O.T.A.
Physical Medicine & Rehabilitation
500 ARCADE AVE STE 300
ELKHART, IN 46514
Elkhart County (574) 296-9100
DR. ABUZAFAR M. ARIF M.D.
Internal Medicine (Gastroenterology)
500 ARCADE AVE STE 300
ELKHART, IN 46514
Elkhart County (574) 389-7362
ANGEL LAM ROBERSON NP
Nurse Practitioner (Family)
500 ARCADE AVE STE 300
ELKHART, IN 46514
Elkhart County (574) 389-7362

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 1699794057. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 500 Arcade Ave Ste 300, Elkhart, IN 46514. The listed phone number is (574) 389-7362.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Beacon Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.