Beacon Medical Group, Inc.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

BEACON MEDICAL GROUP, INC.

Doing business as

Beacon Bone and Joint Specialists
Beacon Medical Group ENT and Audiology Elkhart
Beacon Medical Group ENT and Audiology South Bend10 more in Other names

Practice address

500 Arcade Ave Ste 320
Elkhart, IN 46514-2477

Phone

(574) 523-7900

NPI assigned

May 6, 2009

Last updated

Mar 31, 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

Mr. Jeffrey P. Costello

Title

VP/Cfo

Phone

(574) 647-3549

Specialties & licenses 15

Addresses

Other identifiers 9

Other names 13

• Beacon Bone and Joint Specialists Doing business as
• Beacon Medical Group ENT and Audiology Elkhart Doing business as
• Beacon Medical Group ENT and Audiology South Bend Doing business as
• Beacon Medical Group Hospital Specialties Doing business as
• Beacon Medical Group Infectious Disease Doing business as
• Beacon Medical Group Interventional Radiology and Vascular Specialists Doing business as
• Beacon Medical Group Pulmonology and Critical Care South Bend Doing business as
• Beacon Medical Group Rheumatology Goshen Doing business as
• Beacon Medical Group Specialists Bremen Doing business as
• Beacon Medical Group Specialists Centennial Doing business as
• Beacon Medical Group Specialists Goshen Doing business as
• Beacon Medical Group Specialists Granger Doing business as
• Beacon Medical Group Surgical Services Elkhart Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 188

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.

• Ismail Al-Ani, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • South Bend, IN
  • NPI 1578547402
  NPD
• William Anderson, MD

  • Surgery Physician
  • South Bend, IN
  • NPI 1194177451
  NPD
• Brook Elizabeth Arney, NP

  • Neonatal Nurse Practitioner
  • South Bend, IN
  • NPI 1811244304
  NPD
• Muhammad Shakil Aslam, MD

  • Interventional Cardiology Physician
  • South Bend, IN
  • NPI 1023053022

  Cardiovascular Disease

  NPD
• Erin Elizabeth Barth, MSN, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • South Bend, IN
  • NPI 1265951578
  NPD
• Andriana Nadia Benge, FNP-C

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1487463139
  NPD
• Myron Glen Bontrager, DO

  • Internal Medicine Physician
  • South Bend, IN
  • NPI 1801283528
  NPD
• Danielle Brown, PA

  • Physician Assistant
  • Granger, IN
  • NPI 1780295956
  NPD
• Thomas Deverne Bussineau, D.O.

  • Internal Medicine Physician
  • South Bend, IN
  • NPI 1992155055

  Family Medicine

  NPD
• Loren Michelle Calderone, NP-C

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1437763299
  NPD
• Megan Calkins, FNP-BC

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1265274013
  NPD
• David CHI, MD

  • Internal Medicine Physician
  • South Bend, IN
  • NPI 1932662780
  NPD

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1821222829",
    "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": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARCADE AVE STE 320",
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            "postal_code": "465142477",
            "telephone_number": "574-523-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Jackson Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163513",
            "country_code": "US",
            "telephone_number": "574-389-5565",
            "fax_number": "574-389-5566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr Ste 624",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011063",
            "country_code": "US",
            "telephone_number": "574-647-8177",
            "fax_number": "574-647-8536",
            "country_name": "United States",
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        {
            "address_1": "2222 Rieth Blvd Suite 104",
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            "city": "Goshen",
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            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "fax_number": "574-875-3860",
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        {
            "address_1": "3221 Beacon Pkwy",
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        {
            "address_1": "100 Navarre Pl Ste 4440",
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            "address_1": "600 East Blvd 4th Fl Hospitalists Ste",
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        {
            "address_1": "2222 Rieth Blvd Ste 102",
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            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-214-1004",
            "fax_number": "574-309-9968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr Ste 302",
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            "city": "South Bend",
            "state": "IN",
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            "country_code": "US",
            "telephone_number": "574-246-9350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Beacon Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465307196",
            "country_code": "US",
            "telephone_number": "574-999-8838",
            "fax_number": "574-999-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1753 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141927",
            "country_code": "US",
            "telephone_number": "574-293-9448",
            "fax_number": "574-293-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Beacon Pkwy Ste 200",
            "address_purpose": "LOCATION",
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            "postal_code": "465307196",
            "country_code": "US",
            "telephone_number": "574-999-8838",
            "fax_number": "574-999-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Michigan St Fl 1",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011033",
            "country_code": "US",
            "telephone_number": "574-647-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Navarre Pl Ste 4460",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011168",
            "country_code": "US",
            "telephone_number": "574-647-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Michigan St 1st Fl Hospitalist Ste",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011033",
            "country_code": "US",
            "telephone_number": "574-647-3050",
            "fax_number": "574-647-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Memorial Dr Ste 511",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011075",
            "country_code": "US",
            "telephone_number": "574-544-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Navarre Pl Ste 5500",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011172",
            "country_code": "US",
            "telephone_number": "574-647-5200",
            "fax_number": "574-647-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 High Rd",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "IN",
            "postal_code": "465061093",
            "country_code": "US",
            "telephone_number": "574-309-9967",
            "fax_number": "574-309-9968",
            "country_name": "United States",
            "address_type": "DOM"
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    ],
    "basic": {
        "organization_name": "BEACON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "574-647-3549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
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            "code": "207R00000X",
            "taxonomy_group": "",
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            "state": null,
            "license": null,
            "primary": false
        },
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            "desc": "Internal Medicine, Cardiovascular Disease",
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        },
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        },
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            "desc": "Internal Medicine, Gastroenterology",
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            "desc": "Internal Medicine, Infectious Disease",
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        {
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        },
        {
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            "desc": "Orthopaedic Surgery",
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        },
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    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Bone and Joint Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group ENT and Audiology Elkhart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group ENT and Audiology South Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Hospital Specialties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Hospital Specialties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Interventional Radiology and Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Pulmonology and Critical Care South Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Rheumatology Goshen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Specialists Bremen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Specialists Centennial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Specialists Goshen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Specialists Granger",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Medical Group Surgical Services Elkhart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beacon Medical Group, Inc. (Beacon Medical Group-Elkhart East)
• Beacon Medical Group, Inc. (Beacon Medical Group GI and Interventional Radiology)
• Beacon Medical Group, Inc. (Elkhart Cardiology)
• Beacon Medical Group, Inc. (Med Point Urgent Care Center at CR 6)
• Beacon Medical Group, Inc. (Beacon Medical Group Pulmonology and General Surgery)
• Beacon Medical Group, Inc. (Beacon Medical Group Cardio Thoracic Surgery Elkhart)
• Beacon Medical Group, Inc. (Beacon Medical Group Pediatrics Bristol Street)
• Beacon Medical Group, Inc. (Beacon Medical Group Sleep Medicine)
• Beacon Occupational Health, LLC
• Carol Joann Beathea, PHD LCSW MSW

• Critical Care Medicine (Internal Medicine) Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Critical Care Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.