BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART
NPI 1841582087
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Elkhart, IN
NPI Status: Active since May 06, 2011
Contact Information
500 ARCADE AVE STE 230
ELKHART, IN
ZIP 46514
Phone: (574) 522-6565
Fax: (574) 522-5572
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Insurance
About BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART
This page provides the complete NPI Profile along with additional information for Beacon Medical Group Cardio Thoracic Surgery Elkhart, a provider established in Elkhart, Indiana operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1841582087 assigned on May 2011. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Beacon Medical Group Cardio Thoracic Surgery Elkhart. The authorized official of this NPI record is Mr. Jeff P Costello (Cfo)
- NPI
- 1841582087
- Provider Legal Name
- BEACON MEDICAL GROUP, INC.
- Other Organization Name
- BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 500 ARCADE AVE STE 230 ELKHART, IN 46514
- Location Phone
- (574) 522-6565
- Location Fax
- (574) 522-5572
- Mailing Address
- 710 N NILES AVE SOUTH BEND, IN 46617
- Mailing Phone
- (574) 647-1610
- Mailing Fax
- (574) 522-5572
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2011
- Last Update Date
- 04-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201022950A | MEDICAID (05) | IN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 5 | 8 | 2 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 10 | 8 | 4 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 0 + 8 + 4 + 0 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1841582087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053486191 | DR. WALTER HENRY HALLORAN MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1164190401 | MELISSA MICHELLE TURNER Individual | Physician Assistant | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1023183209 | MS. CHRISTINE ANKARET RULLO PAC Individual | Physician Assistant | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1932367083 | DR. AMJAD Q SYED MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1528779436 | TANNER C PEARSON Individual | Physician Assistant | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1407534712 | TOMMI ANDERSEN Individual | Physician Assistant | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (574) 522-6565 |
| 1740170968 | MACKENZIE LINN GRIMAN PA-C Individual | Physician Assistant (Surgical) | 500 ARCADE AVE STE 230 ELKHART, IN 46514 (572) 522-6565 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841582087, enumerated in the NPI registry as an "organization" on May 06, 2011
The provider is located at 500 Arcade Ave Ste 230 Elkhart, In 46514 and the phone number is (574) 522-6565
This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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