Beacon Medical Group, Inc.
NPI 1770954992ActiveOrganization· Internal Medicine, Pulmonary Disease· Elkhart, IN
Internal Medicine, Pulmonary Disease in Elkhart, Indiana, registered in NPPES in October 2015, part of Beacon Health System, Inc. The authorized official on file is Jeffrey P. Costello, Cfo.
Overview
| NPI | 1770954992 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Beacon Health System, Inc. |
| NPI issued | Oct 14, 2015 |
| Last updated in NPPES | Apr 28, 2023 |
| Certified by provider | Apr 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Surgery | 208600000X | — | — |
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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