DR. KARIM KIBAA MD
NPI 1861183964
Family Medicine in Sheboygan, WI

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Karim Kibaa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARIM KIBAA MD (NPI 1861183964) is an individual family medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (86706-20) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861183964
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARIM KIBAACredential: MD
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1861183964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 86706-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Other Identifiers 1

Medicaid1861183964WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karim Kibaa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880165745
PECOS Enrollment IDI20260602002596
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Karim Kibaa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Physician Assistant
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karim Kibaa's NPI number?

The NPI number for Karim Kibaa is 1861183964. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Karim Kibaa located?

Karim Kibaa practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is Karim Kibaa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karim Kibaa enrolled in Medicare?

Yes. Karim Kibaa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Karim Kibaa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karim Kibaa reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karim Kibaa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karim Kibaa accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Karim Kibaa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karim Kibaa was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.