Beacon Medical Group, Inc.
NPI 1639129117ActiveOrganization· Family Medicine· La Porte, IN
Family Medicine in La Porte, Indiana, registered in NPPES in May 2006. The authorized official on file is Jeffrey Costello, Vp-Cfo.
Overview
| NPI | 1639129117 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01056419A | IN |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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