Beverly A. Calub, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036088481 Issued in IL

Practice address

4528 E Whitetail CT
Manitowoc, WI 54220-8302

Phone

(773) 636-7481

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwestern Internists, LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891709259
  NPD
• Lakeshore Radiology Associates SC

  • Diagnostic Radiology Physician
  • Manitowoc, WI
  • NPI 1346265915
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1316992993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 E WHITETAIL CT",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542208302",
            "telephone_number": "773-636-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 E WHITETAIL CT",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542208302",
            "telephone_number": "773-636-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALUB",
        "first_name": "BEVERLY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088481",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "63539-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Burbach, PHD
• Anna Burch
• Steven Burton
• Thomas William Butzer
• C Schroeder Psych SC (Lakeview Psychological Associates)
• Matthew Campbell, MD
• Patricia J Cantagallo, MD
• Julie Capello, OTA
• Mark J Capriolo, MD
• Geralyn Ann Carducci, DO

• Internal Medicine Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.