BEACON MEDICAL GROUP, INC.
NPI 1821222829
Internal Medicine - Critical Care Medicine in Elkhart, IN
NPI Status: Active since May 06, 2009
Contact Information
500 ARCADE AVE STE 320
ELKHART, IN
ZIP 46514
Phone: (574) 523-7900
- Organization
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- CLIA Number: 15D2309128
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-08-2026
About BEACON MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Beacon Medical Group, Inc., an internist established in Elkhart, Indiana operating as a Internal Medicine, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1821222829 assigned on May 2009. The practitioner's primary taxonomy code is 207RC0200X. The provider is registered as an organization and their NPI record was last updated March 2026. Beacon Medical Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1821222829
- Provider Legal Name
- BEACON MEDICAL GROUP, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 500 ARCADE AVE STE 320 ELKHART, IN 46514
- Location Phone
- (574) 523-7900
- Mailing Address
- 3245 HEALTH DR STE 100 GRANGER, IN 46530
- Mailing Phone
- (574) 647-3725
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2009
- Last Update Date
- 03-31-2026
- Code Navigator
An internist like Beacon Medical Group, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 100 Navarre Pl Ste 4440
South Bend, IN 46601
(574) 647-5300 - 1753 Fulton St
Elkhart, IN 46514
(574) 293-9448 - 2222 Rieth Blvd Ste 102
Goshen, IN 46526
(574) 214-1004 - 621 Memorial Dr Ste 302
South Bend, IN 46601
(574) 246-9350 - 3220 Beacon Pkwy Ste 220
Granger, IN 46530
(574) 999-8838 - 3221 Beacon Pkwy
Granger, IN 46530
(574) 647-1670 - 2222 Rieth Blvd Suite 104
Goshen, IN 46526
(574) 875-1082 - 200 E Jackson Blvd Ste 130
Elkhart, IN 46516
(574) 389-5565 - 621 Memorial Dr Ste 624
South Bend, IN 46601
(574) 647-8177 - 1020 High Rd
Bremen, IN 46506
(574) 309-9967 - 100 Navarre Pl Ste 5500
South Bend, IN 46601
(574) 647-5200 - 621 Memorial Dr Ste 511
South Bend, IN 46601
(574) 544-5581 - 615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601
(574) 647-3050 - 100 Navarre Pl Ste 4460
South Bend, IN 46601
(574) 647-8610 - 615 N Michigan St Fl 1
South Bend, IN 46601
(574) 647-3050 - 3220 Beacon Pkwy Ste 200
Granger, IN 46530
(574) 999-8838 - 600 East Blvd 4th Fl Hospitalists Ste
Elkhart, IN 46514
(574) 647-3050
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 7 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 01049858A (IN) |
| 8 | 207YX0905X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 9 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 10 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 11 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | |
| 12 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 13 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | |
| 14 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | 01049858A (IN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300070471 | MEDICAID (05) | IN | |
| 300013675 | MEDICAID (05) | IN | |
| 300068062 | MEDICAID (05) | IN | |
| 300013260 | MEDICAID (05) | IN | |
| 300068474 | MEDICAID (05) | IN | |
| 300093527 | MEDICAID (05) | IN | |
| 300013073 | MEDICAID (05) | IN | |
| 300012878 | MEDICAID (05) | IN | |
| 300128004 | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2309128
- Facility Type
- Physician Office
- Certificate Effective Date
- August 09, 2024
- Certificate Expiration Date
- August 08, 2026
- Laboratory Director
- MARJORIE DAOUD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beacon Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821222829, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
ELKHART, IN 46514
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821222829, enumerated as an "organization" on May 06, 2009.
The provider is located at 500 ARCADE AVE STE 320 ELKHART, IN 46514 and the phone number is (574) 523-7900.
Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
