Beacon Medical Group Michigan Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BEACON MEDICAL GROUP MICHIGAN INC

Doing business as

Beacon Medical Group Michigan

Practice address

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048-1647

Phone

(269) 344-5552

NPI assigned

Jul 22, 2006

Last updated

Oct 27, 2026By the provider in NPPES

Organization subpart

No

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 15

Addresses

Other names 1

• Beacon Medical Group Michigan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• Ascension Medical Group Promed

  • Pediatrics Physician
  • Sturgis, MI
  • NPI 1013926997

  O20031216000478

  Same enrollment
• Ascension Medical Group Promed

  • Counselor
  • Portage, MI
  • NPI 1063542165

  O20031216000478

  Same enrollment
• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
  • NPI 1437201811

  O20031216000478

  Same enrollment
• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869

  O20031216000478

  Same enrollment
• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Internal Medicine Physician
  • Portage, MI
  • NPI 1538299631

  O20031216000478

  Same enrollment
• Promed Healthcare

  dba Delano Clinic

  • Counselor
  • Kalamazoo, MI
  • NPI 1568592038

  O20031216000478

  Same enrollment

Locations

Practitioners 218

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.

• Michael Lee Adix II, M.D.

  • Neuroradiology Physician
  • Kalamazoo, MI
  • NPI 1134361215
  NPD
• Omar Abdalrahim Al-Subee, MD

  • Gastroenterology Physician
  • Wyandotte, MI
  • NPI 1194903708

  Internal Medicine

  NPD
• Ferris Alkazir, MD

  • Sleep Medicine (Family Medicine) Physician
  • Kalamazoo, MI
  • NPI 1053757849
  NPD
• Saud Alsubait

  • Hematology & Oncology Physician
  • Lansing, MI
  • NPI 1518341494
  NPD
• Yazdi N Amaria, M.D.

  • Family Medicine Physician
  • Sturgis, MI
  • NPI 1619976271
  NPD
• Susan Ames, ACNP

  • Acute Care Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1932802980
  NPD
• Ashley Armbruster, D.O.

  • Surgical Critical Care Physician
  • Kalamazoo, MI
  • NPI 1053762211
  NPD
• Nicholas Badgley, AGACNP

  • Critical Care Medicine Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1366921520
  NPD
• Robert Jon Baker, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Kalamazoo, MI
  • NPI 1689642803
  NPD
• Kali Barrow, NP

  • Family Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1982125746
  NPD
• Alvise Fileno Bernabei, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Grand Blanc, MI
  • NPI 1588679013
  NPD
• Kevin L. Beyer, D.O.

  • Gastroenterology Physician
  • Kalamazoo, MI
  • NPI 1013970383
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1720009954",
    "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",
            "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": "1717 SHAFFER ST",
            "address_2": "STE 124",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-344-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "South Haven",
            "state": "MI",
            "postal_code": "490908652",
            "country_code": "US",
            "telephone_number": "269-633-2066",
            "fax_number": "269-633-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481609",
            "country_code": "US",
            "telephone_number": "269-633-2510",
            "fax_number": "269-633-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938352",
            "country_code": "US",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938351",
            "country_code": "US",
            "telephone_number": "269-633-2075",
            "fax_number": "269-633-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 Henson Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481510",
            "country_code": "US",
            "telephone_number": "269-633-2513",
            "fax_number": "269-633-2514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Chicago St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362086",
            "country_code": "US",
            "telephone_number": "269-633-2063",
            "fax_number": "269-633-2065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Linn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490101572",
            "country_code": "US",
            "telephone_number": "269-895-0613",
            "fax_number": "269-895-0614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490939387",
            "country_code": "US",
            "telephone_number": "269-633-2070",
            "fax_number": "269-633-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490108507",
            "country_code": "US",
            "telephone_number": "269-895-0358",
            "fax_number": "269-895-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490154185",
            "country_code": "US",
            "telephone_number": "269-633-2061",
            "fax_number": "269-633-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911947",
            "country_code": "US",
            "telephone_number": "269-633-2068",
            "fax_number": "269-633-2069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON MEDICAL GROUP MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "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": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute 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"
        }
    ]
}

• Beacon Kalamazoo Inc (Beacon Kalamazoo)
• Beacon Kalamazoo Inc (Beacon Kalamazoo)
• Beacon Kalamazoo Inc (Beacon Kalamazoo)
• Beacon Kalamazoo Inc (Beacon Kalamazoo Bone & Joint Specialists)
• Beacon Medical Group Michigan Inc (Beacon Medical Group Michigan)
• Beacon Specialized Living New Jersey, Inc.
• Kenneth W Beadling Jr., DDS
• Jonathan Howard Beal, LMSW
• Christopher K Beamish, P.A.
• Payton Bear

• Internal Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.