BEACON HEALTH, LLC
NPI 1912796699
Radiology - Diagnostic Radiology in Mishawaka, IN

Active since May 01, 2025
202 LINCOLNWAY E STE 200, MISHAWAKA, IN 46544(574) 647-2301(574) 647-2302 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Health, Llc NPPES

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

BEACON HEALTH, LLC (NPI 1912796699), doing business as Beacon Imaging Mishawaka, is a healthcare organization registered as a diagnostic radiology in Mishawaka, Indiana and active in the NPI registry since May 2025. The organization lists Jeffrey Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912796699
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBEACON HEALTH, LLC
Location Address202 LINCOLNWAY E STE 200Mishawaka, IN 46544-2079
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1070
Fax(574) 647-2302
Organization SubpartNo
Authorized OfficialJeffrey CostelloCfo · (574) 647-3460
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1912796699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
202 LINCOLNWAY E STE 200, Mishawaka, IN 46544

Other Names 1

Doing Business AsBeacon Imaging Mishawaka

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 Health, LLC's NPI number?

The NPI number for Beacon Health, LLC is 1912796699. It was assigned to this organization in the NPPES registry on May 1, 2025. The provider is doing business as Beacon Imaging Mishawaka.

Where is Beacon Health, LLC located?

Beacon Health, LLC is located at 202 Lincolnway E Ste 200, Mishawaka, IN 46544. The listed phone number is (574) 647-2301.

What is Beacon Health, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Beacon Health, LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.