BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH
NPI 1972831311
Internal Medicine - Cardiovascular Disease in Plymouth, IN

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

The NPI number for Beacon Medical Group, Inc. is 1972831311. It was assigned to this organization in the NPPES registry on November 23, 2009. The provider is doing business as Beacon Medical Group Specialists Plymouth.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 23, 2009

2855 MILLER DR, SUITE 121, PLYMOUTH, IN 46563(574) 647-1600(574) 237-6069 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Beacon Medical Group Specialists Plymouth NPPES

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

BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH (NPI 1972831311) is a healthcare organization registered as a cardiovascular disease in Plymouth, Indiana and active in the NPI registry since November 2009. The organization lists Jeffrey P Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1972831311

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address2855 MILLER DR, SUITE 121Plymouth, IN 46563-8091

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

Phone(574) 647-1600

Fax(574) 237-6069

Organization SubpartNo

Authorized OfficialJeffrey P CostelloVp/cfo · (574) 647-3549

Enumeration DateNovember 23, 2009

Last NPPES UpdateAugust 30, 2016

✔ NPI 1972831311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01045628A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 01061323A (IN)

2855 MILLER DR, Plymouth, IN 46563

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Other Names 1

Doing Business AsBeacon Medical Group Specialists Plymouth

Other Identifiers 2

Medicare PIN267510IN

Medicaid100092700CIN

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

Other Providers at the Same Location NPPES 12

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

BYRON M. HOLM, MD

Family Medicine

2855 MILLER DR, SUITE 117
PLYMOUTH, IN 46563

Marshall County (574) 936-7777

LIFEPLEX DIAGNOSTIC CENTER, L.L.C.

Clinic/Center (Radiology)

2855 MILLER DR, SUITE 113
PLYMOUTH, IN 46563

Marshall County (574) 941-1090

MRS. JULIE MARIE BRANDY FNP

Nurse Practitioner (Family)

2855 MILLER DR, SUITE 119
PLYMOUTH, IN 46563

Marshall County (574) 941-1000

JEFFREY SHEEDY DO LLC

Orthopaedic Surgery (Sports Medicine)

2855 MILLER DR, SUITE 109
PLYMOUTH, IN 46563

Marshall County (574) 941-1040

HAZEL SHERIL TRINIDAD P.T.

Physical Therapist

2855 MILLER DR, SUITE 105
PLYMOUTH, IN 46563

Marshall County (574) 941-1055

LIFEPLEX URGENT CARE, L.L.C.

Emergency Medicine

2855 MILLER DR, STE 119
PLYMOUTH, IN 46563

Marshall County (574) 941-1000

KRISTINE SAYERS PT

Physical Therapist

2855 MILLER DR, SUITE 105
PLYMOUTH, IN 46563

Marshall County (574) 941-1055

DISCOVER HEALTH CHIROPRACTIC LLC

Chiropractor

2855 MILLER DR, STE 101
PLYMOUTH, IN 46563

Marshall County (574) 941-1086

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 1972831311. It was assigned to this organization in the NPPES registry on November 23, 2009. The provider is doing business as Beacon Medical Group Specialists Plymouth.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 2855 Miller Dr Suite 121, Plymouth, IN 46563. The listed phone number is (574) 647-1600.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.