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BEACON MD LLC
NPI 1710734496
Internal Medicine in Fort Pierce, FL

Active since May 01, 2024
2011 S 25TH ST STE 106, FORT PIERCE, FL 34947(772) 229-4770 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2024, May 1, 2024 (2 updates tracked since 2024).

About Beacon Md Llc NPPES

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

BEACON MD LLC (NPI 1710734496) is a healthcare organization registered as an internal medicine in Fort Pierce, Florida and active in the NPI registry since May 2024. The organization lists Ajay Goyal, President, as its authorized official.

NPPES Registry Identity

NPI1710734496
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEACON MD LLC
Location Address2011 S 25TH ST STE 106Fort Pierce, FL 34947-4795
Mailing Address2011 S 25th St Ste 105Fort Pierce, FL 34947-4795 · (772) 229-4770
Phone(772) 229-4770
Organization SubpartNo
Authorized OfficialAjay GoyalPresident · (772) 468-7020
Enumeration DateMay 1, 2024
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1710734496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
2011 S 25TH ST STE 106, Fort Pierce, FL 34947
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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 Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beacon MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Santos, MD
Family Practice
NPI 1972694644
3372 W SOUTHPORT RD
Kissimmee, FL 34746
(407) 933-7900
✔ PECOS83 mi

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 MD LLC's NPI number?

The NPI number for Beacon MD LLC is 1710734496. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Beacon MD LLC located?

Beacon MD LLC is located at 2011 S 25th St Ste 106, Fort Pierce, FL 34947. The listed phone number is (772) 229-4770.

What is Beacon MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Beacon MD LLC enrolled in Medicare?

Yes. Beacon MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Beacon MD LLC. 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. 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 MD LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.