Heba Kalaji, MD
NPI 1053949339 · Family Medicine Physician · Sheboygan, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heba Kalaji, MD is a Family Medicine Physician provider in Sheboygan, WI (NPI 1053949339).
Provider details
- NPI number
- 1053949339
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
244 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 96 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $121 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 45 | $119 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 13 | $193 |
| Admn Sarscov2 Vacc 1 Dose90480 | 12 | $41 |
| Administration of Influenza Virus VaccineG0008 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 80 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 303 | 102 |
| Losartan Potassium | 159 | 65 |
| Amlodipine Besylate | 133 | 47 |
| Metoprolol Succinate | 128 | 40 |
| Pantoprazole Sodium | 114 | 41 |
| Omeprazole | 112 | 42 |
| Lisinopril |
Practice location
Mailing address
Additional practice locations (1)
- 11100 Euclid AveCleveland, OH 44106-1716Phone: (216) 844-1000
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Frequently asked questions
- What is Heba Kalaji's NPI number?
- Heba Kalaji's National Provider Identifier (NPI) is 1053949339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heba Kalaji's specialty?
- Heba Kalaji is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heba Kalaji located?
- Heba Kalaji's practice location on file with NPPES is 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129.
- What is Heba Kalaji's phone number?
- The practice phone number listed in the NPPES registry for Heba Kalaji is (920) 457-4461.
- Does Heba Kalaji accept Medicare?
- Heba Kalaji is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heba Kalaji's NPI active?
- Yes — Heba Kalaji's NPI (1053949339) is active in the NPPES registry as of the last update on 2023-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.