Organization · Type 2 NPI

Beacon Medical Group, Inc.

Sleep Medicine (Internal Medicine) Physician · Elkhart, IN

NPI number 1881925188 Active

Practice location

525 W Bristol St
Elkhart, IN 46514-2964

Call (574) 262-0239 Map

Fax (574) 262-8391

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

3301 County Road 6 East, Elkhart, IN 46514-7673 · (574) 264-9635

Specialties and licenses

Taxonomy	Code	License
Sleep Medicine (Internal Medicine) Physician Primary	207RS0012X	None listed

Sleep Medicine (Internal Medicine) Physician: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disor…

5 other providers at this address

NPI record

NPI: 1881925188
Entity type: Organization (Type 2)
Issued: Jan 26, 2010
Last updated: May 5, 2023
Status: Active

Other names

<unavail>
Beacon Medical Group Sleep Medicine · doing business as
Beacon Medical Group Sleep Medicine Elkhart East · doing business as

Authorized official

Mr. Jeffrey P Costello
CFO
(574) 647-3549

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881925188

Beacon Medical Group, Inc.'s National Provider Identifier is 1881925188, issued on Jan 26, 2010. The primary taxonomy on file is Sleep Medicine (Internal Medicine) Physician (207RS0012X), and the practice location is in Elkhart, IN. The record was last updated on May 5, 2023.