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BEACON MEDICAL GROUP SLEEP MEDICINE
NPI 1881925188
Internal Medicine - Sleep Medicine in Elkhart, IN

Active since January 26, 2010
525 W BRISTOL ST, ELKHART, IN 46514(574) 262-0239(574) 262-8391 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2023, Oct 27, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Beacon Medical Group Sleep Medicine NPPES

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

BEACON MEDICAL GROUP SLEEP MEDICINE (NPI 1881925188) is a healthcare organization registered as a sleep medicine in Elkhart, Indiana and active in the NPI registry since January 2010. The organization maintains a secondary practice location in Elkhart and lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881925188
Entity TypeOrganization
Primary Taxonomy207RS0012X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address525 W BRISTOL STElkhart, IN 46514-2964
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 262-0239
Fax(574) 262-8391
Organization SubpartNo
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3549
Enumeration DateJanuary 26, 2010
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1881925188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
525 W BRISTOL ST, Elkhart, IN 46514
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Other Names 2

Doing Business AsBeacon Medical Group Sleep Medicine
Doing Business AsBeacon Medical Group Sleep Medicine Elkhart East

Secondary Practice Location 1

Location 13301 County Road 6 EastElkhart, IN 46514-7673 · Phone (574) 264-9635 · Fax (574) 262-0398

Other Identifiers 1

Medicaid200977370IN

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 ›

Other Providers at the Same Location NPPES 5

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

MRS. TAMARA L RIESS NP
Nurse Practitioner (Adult Health)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0239
DR. ISRAR AZIM SIDDIQI M.D.
Internal Medicine (Sleep Medicine)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0329
MICHIANA INTERNAL MEDICINE PC
Clinic/Center (Primary Care)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 295-5900
MS. VICTORIA GONZALEZ
Nurse Practitioner (Family)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0239
REGIONAL HEALTH CARE PROFESSIONALS INC
Home Health
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 295-9999

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 1881925188. It was assigned to this organization in the NPPES registry on January 26, 2010. The provider is doing business as Beacon Medical Group Sleep Medicine and Beacon Medical Group Sleep Medicine Elkhart East.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 525 W Bristol St, Elkhart, IN 46514. The listed phone number is (574) 262-0239.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

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 May 5, 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.