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

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: August 16, 2026.

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

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 ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINE ANKARET RULLO PAC
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
DR. WALTER HENRY HALLORAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
MELISSA MICHELLE TURNER
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
TOMMI ANDERSEN
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
TANNER C PEARSON
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
MACKENZIE LINN GRIMAN PA-C
Physician Assistant (Surgical)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (572) 522-6565
DR. AMJAD Q SYED MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565

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.

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.