ELKHART CARDIOLOGY – NPI #1700187457
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
ELKHART CARDIOLOGY is a provider located in ELKHART, IN. NPPES has assigned the NPI number 1700187457 to ELKHART CARDIOLOGY on November 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELKHART CARDIOLOGY” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 3 years ago on Apr 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELKHART CARDIOLOGY below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 15 years ago)
ELKHART, IN 46514-2066 Phone: (574) 296-3338 Fax: (574) 296-3332
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax: (574) 237-6069
CFO
Phone: (574) 647-3549
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ELKHART CARDIOLOGY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IN | 201004850A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
IN | 10-005017-1 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.