BEACON MEDICAL GROUP, INC.
NPI 1861816761
Pediatrics in Elkhart, IN

NPI Status: Active since February 12, 2014

Contact Information

1627 E BRISTOL ST
ELKHART, IN
ZIP 46514
Phone: (574) 262-0313
Fax: (574) 262-8163

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 15D2019223
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-06-2026

About BEACON MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Beacon Medical Group, Inc., a pediatrician established in Elkhart, Indiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1861816761 assigned on February 2014. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. 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 . The authorized official of this NPI record is Jeffrey P. Costello (Cfo)

NPI
1861816761
Provider Legal Name
BEACON MEDICAL GROUP, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1627 E BRISTOL ST ELKHART, IN 46514
Location Phone
(574) 262-0313
Location Fax
(574) 262-8163
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
02-12-2014
Last Update Date
08-12-2025
Code Navigator

A pediatrician like Beacon Medical Group, Inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 2120 Rieth Blvd Ste 200
    Goshen, IN 46526
    (574) 262-0313
  • 2606 Peddlers Village Rd Ste 218
    Goshen, IN 46526
    (574) 262-0313

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY P. COSTELLO

Authorized Official Title
CFO
Authorized Official Phone
(574) 647-3549

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
100114000HMEDICAID (05)IN 
100114000IMEDICAID (05)IN 
300114876MEDICAID (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
15D2019223
Facility Type
Physician Office
Certificate Effective Date
July 07, 2024
Certificate Expiration Date
July 06, 2026
Laboratory Director
DR. ANDREW G. LAPADAT
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.

Reviews for BEACON MEDICAL GROUP, INC.

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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 1861816761, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 6 + 1 + 1 + 2 + 7 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1861816761.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Nurse Practitioner (Family)
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Dietitian, Registered
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861816761, enumerated as an "organization" on February 12, 2014.

The provider is located at 1627 E BRISTOL ST ELKHART, IN 46514 and the phone number is (574) 262-0313.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.