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Beacon Medical Group, Inc.

NPI 1003042318ActiveOrganization· Family Medicine· Granger, IN

Family Medicine in Granger, Indiana, registered in NPPES in June 2009. The authorized official on file is Jeffrey P. Costello, Cfo.

Overview

NPI1003042318
StatusActive
Entity typeOrganization
NPI issuedJun 2, 2009
Last updated in NPPESApr 24, 2023
Certified by providerApr 24, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X—IN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Granger

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