NPI 1720009954 · live from the CMS NPI Registry
Beacon Medical Group Michigan INC
Internal Medicine in Kalamazoo, MI. National Provider Identifier 1720009954, active.
NPI record
| NPI | 1720009954 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048 |
| Practice phone | 269-344-5552 |
| Mailing address | 3245 Health Dr Ste 100, Granger, IN 46530 |
| Enumerated | July 22, 2006 |
| Last updated | October 9, 2026 |
| Authorized official | Irene Maffetone, Manager Contracting And Payor Relat |
| Other names | Beacon Medical Group Michigan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — (MI) |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| 2085N0700X | — | |
| 2086S0129X | — | |
| Urology | 208800000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.