Internal Medicine, Cardiovascular Disease
BEACON MEDICAL GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972831311 · enumerated 2009-11-23 · record updated 2016-08-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JEFFREY COSTELLO, VP/CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH
Addresses and phones
- Practice location 2855 MILLER DR, SUITE 121, PLYMOUTH, IN, 46563-8091 (574) 647-1600 Fax (574) 237-6069 Google Maps Apple Maps OpenStreetMap
- Mailing address 710 N NILES AVE, SOUTH BEND, IN, 46617-1924 (574) 647-1610 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Rheumatology 207RR0500X · License 01061323A IN
- Internal Medicine, Cardiovascular Disease 207RC0000X · Primary · License 01045628A IN
In this directory
IN Marshall County Plymouth Internal Medicine, Cardiovascular Disease
Locations and evidence
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Practice location
PLYMOUTH, IN, 465638091
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.