NPIMap

Organization Active NPI

Beacon Dowagiac Inc

Doing business as Beacon Kalamazoo

  • Hospitalist Physician
  • Dowagiac, MI
National Provider Identifier
1467315499
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
BEACON DOWAGIAC INC
Doing business as
Beacon Kalamazoo
Practice address
420 W High St
Dowagiac, MI 49047-1943
Phone
(269) 783-3052
NPI assigned
Dec 5, 2025
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irene Maffetone
Title
Manager Contracting and Payor Relat
Phone
(574) 647-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

420 W High St
Dowagiac, MI 49047-1943

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other names 1

  • Beacon Kalamazoo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060228000470 MI Part B Supplier - Clinic/Group Practice 7719881002 Receives reassigned benefits from 84 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dowagiac, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lee Memorial Medical GR9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 Spencer Rd
Cassopolis, MI 49031
Phone (616) 445-0771

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

520 Main St
Ste C
Dowagiac, MI 49047
Phone (268) 783-2080

530 Riverside Dr
Dowagiac, MI 49047
Phone (269) 782-5161

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1467315499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "fax_number": "574-647-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W HIGH ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471943",
            "telephone_number": "269-783-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DOWAGIAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MAFFETONE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MANAGER CONTRACTING AND PAYOR RELAT",
        "authorized_official_telephone_number": "574-647-1040"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dowagiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.