Beacon Health, LLC
NPI 1912796699ActiveOrganization· Radiology, Diagnostic Radiology· Mishawaka, IN
Radiology, Diagnostic Radiology in Mishawaka, Indiana, registered in NPPES in May 2025. The authorized official on file is Jeffrey Costello, Cfo. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1912796699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2025 |
| Last updated in NPPES | May 1, 2025 |
| Certified by provider | May 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Clinic/Center, Magnetic Resonance Imaging (MRI) | 261QM1200X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
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) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IN) |
|---|
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