Beacon Medical Group, Inc.
NPI 1699794057ActiveOrganization· Internal Medicine, Gastroenterology· Elkhart, IN
Internal Medicine, Gastroenterology in Elkhart, Indiana, registered in NPPES in July 2006. The authorized official on file is Jeffrey P. Costello, Cfo.
Overview
| NPI | 1699794057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | Jun 13, 2025 |
| Certified by provider | Jun 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 06-005017-1 | IN |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
| Urology | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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