Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEACON MEDICAL GROUP MICHIGAN INC
NPI 1720009954
Internal Medicine in Kalamazoo, MI

Q: What is Beacon Medical Group Michigan Inc's NPI number?

The NPI number for Beacon Medical Group Michigan Inc is 1720009954. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Beacon Medical Group Michigan.

Q: What is Beacon Medical Group Michigan Inc's specialty?

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

Active since July 22, 2006

1717 SHAFFER ST, STE 124, KALAMAZOO, MI 49048(269) 344-5552 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Oct 9, 2026, Oct 2, 2026 and 5 more (8 updates tracked since 2018).

On this page

About Beacon Medical Group Michigan Inc NPPES

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

BEACON MEDICAL GROUP MICHIGAN INC (NPI 1720009954), doing business as Beacon Medical Group Michigan, is a healthcare organization registered as an internal medicine in Kalamazoo, Michigan and active in the NPI registry since July 2006. The organization maintains 11 additional practice locations and lists Irene Maffetone, Manager Contracting And Payor Relat, as its authorized official.

NPPES Registry Identity

NPI1720009954

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBEACON MEDICAL GROUP MICHIGAN INC

Location Address1717 SHAFFER ST, STE 124Kalamazoo, MI 49048-1647

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1820 · Fax (574) 647-1821

Phone(269) 344-5552

Organization SubpartNo

Authorized OfficialIrene MaffetoneManager Contracting And Payor Relat · (574) 647-1040

Enumeration DateJuly 22, 2006

Last NPPES UpdateOctober 27, 20268 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1720009954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedUrologyTaxonomy 208800000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1717 SHAFFER ST, Kalamazoo, MI 49048

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Other Names 1

Doing Business AsBeacon Medical Group Michigan

Secondary Practice Locations 11

Location 1199 Veterans BlvdSouth Haven, MI 49090-8652 · Phone (269) 633-2066 · Fax (269) 633-2067

Location 21701 Gull RdKalamazoo, MI 49048-1609 · Phone (269) 633-2510 · Fax (269) 633-2511

Location 3715 S Health ParkwayThree Rivers, MI 49093-8352 · Phone (269) 381-3963 · Fax (269) 381-2809

Location 4601 S Health ParkwayThree Rivers, MI 49093-8351 · Phone (269) 633-2075 · Fax (269) 633-2076

Location 51815 Henson AveKalamazoo, MI 49048-1510 · Phone (269) 633-2513 · Fax (269) 633-2514

Location 6360 E Chicago St Ste 103Coldwater, MI 49036-2086 · Phone (269) 633-2063 · Fax (269) 633-2065

Location 7570 Linn St Ste 1Allegan, MI 49010-1572 · Phone (269) 895-0613 · Fax (269) 895-0614

Location 8711 S Health ParkwayThree Rivers, MI 49093-9387 · Phone (269) 633-2070 · Fax (269) 633-2074

Location 9730 Airway DrAllegan, MI 49010-8507 · Phone (269) 895-0358 · Fax (269) 895-0359

Location 102845 Capital Ave SWBattle Creek, MI 49015-4185 · Phone (269) 633-2061 · Fax (269) 633-2062

Location 11104 S Lakeview AveSturgis, MI 49091-1947 · Phone (269) 633-2068 · Fax (269) 633-2069

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 ›

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 Michigan Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

460

Medicare enrollment records show 460 clinicians reassign Medicare billing to Beacon Medical Group Michigan Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 224 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner111

Family Practice43

Obstetrics/Gynecology42

Internal Medicine30

General Surgery24

Cardiovascular Disease (Cardiology)18

Gastroenterology17

Interventional Cardiology14

36 other specialties161

Nearest to this location (20)

See all 460

Ashley Armbruster, D.O.

General Surgery

NPI 1053762211

1717 SHAFFER ST STE 124
Kalamazoo, MI 49048

(269) 226-5456

✔ PECOS✔ Accepts MedicareSame address

Ellyn Reid

Nurse Practitioner

NPI 1306731203

1717 SHAFFER ST
Kalamazoo, MI 49048

(269) 552-0014

✔ PECOS✔ Accepts MedicareSame address

Tim Fischell, MD

Interventional Cardiology

NPI 1891771440

1722 SHAFFER ST SUITE 1
Kalamazoo, MI 49048

(269) 381-3963

✔ PECOS✔ Accepts MedicareSame address

Shadi Idris, MD.

Cardiovascular Disease (Cardiology)

NPI 1891919312

1722 SHAFFER ST STE 1
Kalamazoo, MI 49048

(269) 381-3963

✔ PECOS✔ Accepts MedicareSame address

Thaslim Kassim, MD

Cardiovascular Disease (Cardiology)

NPI 1518116680

1722 SHAFFER ST STE 1
Kalamazoo, MI 49048

(269) 381-3963

✔ PECOS✔ Accepts MedicareSame address

Anthony King

Cardiovascular Disease (Cardiology)

NPI 1194700104

1722 SHAFFER ST SUITE 1
Kalamazoo, MI 49048

(269) 381-3963

✔ PECOSSame address

Shivani Shodhan, MD, MPH

Interventional Cardiology

NPI 1710279625

1722 SHAFFER ST STE 1
Kalamazoo, MI 49048

(269) 381-3963

✔ PECOS✔ Accepts MedicareSame address

Amanda Adams, FNP

Nurse Practitioner

NPI 1912433582

1521 GULL RD
Kalamazoo, MI 49048

(269) 420-9022

✔ PECOS✔ Accepts MedicareSame address

Breanna Adams

Nurse Practitioner

NPI 1306422365

1521 GULL RD STE 174A1-CW
Kalamazoo, MI 49048

(269) 552-2970

✔ PECOS✔ Accepts MedicareSame address

Gretchen Barnas, M.D.

Psychiatry

NPI 1013124114

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-6653

✔ PECOS✔ Accepts MedicareSame address

Joshua Bradish, MD

Pathology

NPI 1861712994

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-7000

✔ PECOS✔ Accepts MedicareSame address

Kaitlyn Hamann, RDN

Registered Dietitian or Nutrition Professional

NPI 1972382869

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-5608

Same address

James Hull, D.O

Critical Care (Intensivists)

NPI 1548441827

1521 GULL RD
Kalamazoo, MI 49048

(269) 552-2882

✔ PECOS✔ Accepts MedicareSame address

Julia Kaseman, D.O.

Critical Care (Intensivists)

NPI 1679884381

1521 GULL RD
Kalamazoo, MI 49048

(269) 345-1161

✔ PECOS✔ Accepts MedicareSame address

Zhigang Liu, M.D., PH.D.

Cardiac Electrophysiology

NPI 1689931693

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-7000

✔ PECOS✔ Accepts MedicareSame address

Vbr Datta Amara Sai Mitnala, M.D

Hospitalist

NPI 1992018618

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-5165

✔ PECOS✔ Accepts MedicareSame address

Nicoara Oprescu

Internal Medicine

NPI 1225146533

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-7000

✔ PECOS✔ Accepts MedicareSame address

Timothy Schubert, DO

Hospitalist

NPI 1124388822

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-5165

✔ PECOS✔ Accepts MedicareSame address

Prabhash Tatineni, MD

Internal Medicine

NPI 1477664167

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-7000

✔ PECOS✔ Accepts MedicareSame address

Gene Yu, D.O.

Physical Medicine and Rehabilitation

NPI 1255354262

1521 GULL RD
Kalamazoo, MI 49048

(269) 552-2225

✔ PECOS✔ Accepts MedicareSame address

See all 460 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 Michigan Inc's NPI number?

The NPI number for Beacon Medical Group Michigan Inc is 1720009954. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Beacon Medical Group Michigan.

Where is Beacon Medical Group Michigan Inc located?

Beacon Medical Group Michigan Inc is located at 1717 Shaffer St Ste 124, Kalamazoo, MI 49048. The listed phone number is (269) 344-5552.

What is Beacon Medical Group Michigan Inc's specialty?

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

Is Beacon Medical Group Michigan Inc enrolled in Medicare?

Yes. Beacon Medical Group Michigan Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group Michigan Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 460 clinicians in 44 Medicare specialties reassign their Medicare billing to Beacon Medical Group Michigan 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 (111), Family Practice (43) and Obstetrics/Gynecology (42). Of these, 8 practice at this address and 224 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Medical Group Michigan Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beacon Medical Group Michigan 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 Michigan Inc was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.