BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART
NPI 1841582087
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Elkhart, IN

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

The NPI number for Beacon Medical Group, Inc. is 1841582087. It was assigned to this organization in the NPPES registry on May 6, 2011. The provider is doing business as Beacon Medical Group Cardio Thoracic Surgery Elkhart.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since May 06, 2011

500 ARCADE AVE STE 230, ELKHART, IN 46514(574) 522-6565(574) 522-5572 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2016, Sep 21, 2016 (2 updates tracked since 2016).

On this page

About Beacon Medical Group Cardio Thoracic Surgery Elkhart NPPES

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

BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART (NPI 1841582087) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Elkhart, Indiana and active in the NPI registry since May 2011. The organization lists Jeff P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841582087

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address500 ARCADE AVE STE 230Elkhart, IN 46514-2485

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069

Phone(574) 522-6565

Fax(574) 522-5572

Organization SubpartNo

Authorized OfficialJeff P CostelloCfo · (574) 647-3549

Enumeration DateMay 6, 2011

Last NPPES UpdateApril 28, 20232 updates tracked since enumeration

NPPES CertifiedApril 28, 2023

✔ NPI 1841582087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

500 ARCADE AVE STE 230, Elkhart, IN 46514

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Other Names 1

Doing Business AsBeacon Medical Group Cardio Thoracic Surgery Elkhart

Other Identifiers 1

Medicaid201022950AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Cardio Thoracic Surgery Elkhart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group Cardio Thoracic Surgery Elkhart, which bills Medicare for the services they deliver. Of these, 27 practice at this address and 181 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188

Family Practice113

Certified Registered Nurse Anesthetist (CRNA)49

Obstetrics/Gynecology49

Internal Medicine42

Neurology29

Pediatric Medicine28

Psychiatry21

37 other specialties215

Nearest to this location (20)

See all 734

Edwin Annan, MD

Pulmonary Disease

NPI 1528245040

500 ARCADE AVE STE 210
Elkhart, IN 46514

(574) 389-5656

✔ PECOS✔ Accepts MedicareSame address

Abuzafar Arif, M.D.

Gastroenterology

NPI 1447253539

500 ARCADE AVE STE 300
Elkhart, IN 46514

(574) 389-7362

✔ PECOS✔ Accepts MedicareSame address

Tonia Collins, NP

Nurse Practitioner

NPI 1437265337

500 ARCADE AVE STE 200
Elkhart, IN 46514

(574) 294-8404

✔ PECOS✔ Accepts MedicareSame address

Sara Davis, NP

Nurse Practitioner

NPI 1710516059

500 ARCADE AVE STE 320
Elkhart, IN 46514

(574) 523-7900

✔ PECOS✔ Accepts MedicareSame address

Philip Dibert, NP

Nurse Practitioner

NPI 1609436864

500 ARCADE AVE STE 210
Elkhart, IN 46514

(574) 389-5656

✔ PECOS✔ Accepts MedicareSame address

Scott Eriksen, NP

Nurse Practitioner

NPI 1346611704

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Colin Fath, M.D.

General Surgery

NPI 1811300817

500 ARCADE AVE STE 320
Elkhart, IN 46514

(574) 523-7900

✔ PECOSSame address

Dennis Fitzpatrick, MD

Anesthesiology

NPI 1831180306

500 ARCADE AVE STE 210
Elkhart, IN 46514

(574) 389-5656

✔ PECOS✔ Accepts MedicareSame address

Walter Halloran, MD

Thoracic Surgery

NPI 1053486191

500 ARCADE AVE STE 230
Elkhart, IN 46514

(574) 522-6565

✔ PECOS✔ Accepts MedicareSame address

Asma Iftikhar, M.D.

Critical Care (Intensivists)

NPI 1427344761

500 ARCADE AVE STE 210
Elkhart, IN 46514

(574) 389-5656

✔ PECOS✔ Accepts MedicareSame address

Henry Kirori

Nurse Practitioner

NPI 1225816739

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Gudurutt Kulkarni, M.D.

Cardiac Electrophysiology

NPI 1326042102

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Charles Mathis, MD

Cardiovascular Disease (Cardiology)

NPI 1326042029

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Vijay Mehta, MD

Cardiovascular Disease (Cardiology)

NPI 1801921325

500 ARCADE AVE STE 400 SUITE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Joseph Schnittker, MD

Neurosurgery

NPI 1629073853

500 ARCADE AVE STE 200
Elkhart, IN 46514

(574) 232-7227

✔ PECOS✔ Accepts MedicareSame address

Amjad Syed, MD

Thoracic Surgery

NPI 1932367083

500 ARCADE AVE STE 230
Elkhart, IN 46514

(574) 522-6565

✔ PECOS✔ Accepts MedicareSame address

Adil Wani, MD

Interventional Cardiology

NPI 1114335866

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

Drew Michael Donnell, MD

Pain Management

NPI 1447711866

500 ARCADE AVE STE 200
Elkhart, IN 46514

(574) 294-8404

✔ PECOS✔ Accepts MedicareSame address

Muhammad Owais Abdul Ghani, MD

General Surgery

NPI 1043893225

500 ARCADE AVE STE 320
Elkhart, IN 46514

(574) 523-7900

✔ PECOSSame address

Troy Weirick, MD

Cardiovascular Disease (Cardiology)

NPI 1679717771

500 ARCADE AVE STE 400
Elkhart, IN 46514

(574) 522-2284

✔ PECOS✔ Accepts MedicareSame address

See all 734 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, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1841582087. It was assigned to this organization in the NPPES registry on May 6, 2011. The provider is doing business as Beacon Medical Group Cardio Thoracic Surgery Elkhart.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 500 Arcade Ave Ste 230, Elkhart, IN 46514. The listed phone number is (574) 522-6565.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, 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 (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 27 practice at this address and 181 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.