NPIMap

Individual provider Active NPI

Beverly M Calkins, MD

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1639123722
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C54343 Issued in CA
Practice address
729 Sunrise Ave Ste 612
Roseville, CA 95661-4548
Phone
(916) 666-7215
Fax
(916) 471-0165
NPI assigned
May 22, 2006
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54343 CA Primary

Addresses

Primary practice location

729 Sunrise Ave Ste 612
Roseville, CA 95661-4548

Mailing address

729 Sunrise Ave Ste 612
Roseville, CA 95661-4548
Phone (916) 666-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000163 CA Practitioner - Internal Medicine 4183720865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors in IncGroup PAC ID 9830409788, 3 clinicians

Practice addresses (Care Compare)

729 Sunrise Ave
Suite 612
Roseville, CA 95661-4548
Phone (916) 666-7215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C54343CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Group, Inc. Internal Medicine Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bcalkins117848@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1639123722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 612",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-666-7215",
            "fax_number": "916-471-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 612",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-666-7215",
            "fax_number": "916-471-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "BEVERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.