NPIMap

Organization Active NPI

Beacon Medical Group Michigan Inc

Doing business as Beacon Medical Group Michigan

  • Family Medicine Physician
  • Portage, MI
National Provider Identifier
1497709869
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEACON MEDICAL GROUP MICHIGAN INC
Doing business as
Beacon Medical Group Michigan
Practice address
7901 Angling Rd
Portage, MI 49024-0714
Phone
(269) 552-2912
Fax
(269) 552-2835
NPI assigned
May 20, 2006
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 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Nursing Care Agency 251J00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

7901 Angling Rd
Portage, MI 49024-0714

Mailing address

3245 Health Dr Ste 100
Ste 100
Granger, IN 46530-1380
Phone (574) 647-1820

Other practice location 1

1555 E Chicago Rd
Sturgis, MI 49091-1993
Phone (269) 651-3218

Other practice location 2

633 S Erie St
Three Rivers, MI 49093-2073
Phone (269) 273-9539

Other names 1

  • Beacon Medical Group Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000478 MI Part B Supplier - Clinic/Group Practice 7315856077 Receives reassigned benefits from 562 practitioners
6 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations (25 of 36)

3198 Solutions Ctr
Chicago, IL 60677

551 Linn St
Ste 247
Allegan, MI 49010
Phone (269) 686-4936

551 Linn St
Ste 250
Allegan, MI 49010

555 Linn St
Ste 247
Allegan, MI 49010
Phone (269) 686-5850

570 Linn St
Allegan, MI 49010
Phone (269) 686-4275

2845 Capital Ave SW
Ste 301
Battle Creek, MI 49015
Phone (269) 969-6183

3770 Capital Ave SW
Ste B
Battle Creek, MI 49015
Phone (269) 969-4311

370 E Chicago St
Ste 200
Coldwater, MI 49036
Phone (517) 279-5378

9880 E Michigan Ave
#100
Galesburg, MI 49053

30 S Howell St
Ste 101
Hillsdale, MI 49242

1521 Gull Rd
#146E
Kalamazoo, MI 49048

1521 Gull Rd
Ste 140
Kalamazoo, MI 49048

1521 Gull Rd
Ste 146
Kalamazoo, MI 49048

1521 Gull Rd
Ste 146E
Kalamazoo, MI 49048

1521 Gull Rd
Ste 174
Kalamazoo, MI 49048
Phone (269) 377-3941

1521 Gull Rd
Ste 174A
Kalamazoo, MI 49048

1521 Gull Rd
Ste 174A1CW
Kalamazoo, MI 49048
Phone (269) 552-2970

1535 Gull Rd
Ste 205
Kalamazoo, MI 49048
Phone (269) 381-3521

1717 Shaffer St
Ste 123
Kalamazoo, MI 49048
Phone (616) 345-4554

1722 Shaffer St
Ste 100
Kalamazoo, MI 49048
Phone (269) 381-3963

1722 Shaffer St
Ste 105
Kalamazoo, MI 49048

2490 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-0760

5943 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 280-4586

940 John St
Kalamazoo, MI 49001
Phone (269) 343-7296

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

Practitioners & affiliated clinicians

Practitioners 588

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 588

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1497709869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "address_2": "STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1820",
            "fax_number": "574-647-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 ANGLING RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490240714",
            "telephone_number": "269-552-2912",
            "fax_number": "269-552-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 E Chicago Rd",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911993",
            "country_code": "US",
            "telephone_number": "269-651-3218",
            "fax_number": "269-651-3219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 S Erie St",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490932073",
            "country_code": "US",
            "telephone_number": "269-273-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON MEDICAL GROUP MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Medical Group Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, 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.