DR. GHISLAINE BELEN BALHARRY M.D.
NPI 1235541392
Hospitalist in Coral Gables, FL
About Dr. Ghislaine Belen Balharry M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GHISLAINE BELEN BALHARRY M.D. (NPI 1235541392) is an individual hospitalist provider in Coral Gables, Florida, licensed in Florida (ME162095) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. Ghislaine Belen Balharry M.d. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Ghislaine Balharry reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33176
- Reassigned Medicare billing, Florida enrollment
- 685 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
New Lenox, IL 60451
- Reassigned Medicare billing, Illinois enrollment
- 26 clinicians in this Medicare group
Westmont, IL 60559
- Reassigned Medicare billing, Illinois enrollment
- 44 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 63 clinicians in this Medicare group
Chicago, IL 60625
- Reassigned Medicare billing, Illinois enrollment
- 350 clinicians in this Medicare group
Gurnee, IL 60031
- Reassigned Medicare billing, Illinois enrollment
- 62 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital Of Miami
Acute Care Hospitals · Miami, FLDoctors Hospital
Acute Care Hospitals · Coral Gables, FLWest Kendall Baptist Hospital
Acute Care Hospitals · Miami, FLFishermen's Community Hospital
Critical Access Hospitals · Marathon, FLMariners Hospital
Critical Access Hospitals · Tavernier, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CORAL GABLES, FL 33146
CORAL GABLES, FL 33146
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 Ghislaine Balharry's NPI number?
The NPI number for Ghislaine Balharry is 1235541392. It was assigned to this individual provider in the NPPES registry on May 23, 2014.
Where is Ghislaine Balharry located?
Ghislaine Balharry practices at 5000 University Dr, Coral Gables, FL 33146. The listed phone number is (786) 308-2222.
What is Ghislaine Balharry's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ghislaine Balharry enrolled in Medicare?
Yes. Ghislaine Balharry 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 organizations bill Medicare for Ghislaine Balharry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ghislaine Balharry reassigns Medicare benefits to 7 organizations: Baptist Health Medical Group Physicians LLC (Miami, FL), Alliance Telehealth Network LLC (Pensacola, FL), Hospitalist Consultants Group S.C. (New Lenox, IL), Suburban Pulmonary & Sleep Associates Ltd (Westmont, IL), Advance Inpatient Medicine LLC (Oak Brook, IL) and 2 more organizations, listed in the Medicare section above. Each 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 Ghislaine Balharry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ghislaine Balharry accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health and Oscar Health Maintenance Organization of Florida list Ghislaine Balharry 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.
Is Ghislaine Balharry affiliated with any hospitals?
According to CMS data, Ghislaine Balharry is affiliated with Baptist Hospital Of Miami, Doctors Hospital, West Kendall Baptist Hospital, Fishermen's Community Hospital and Mariners Hospital.
When was this NPI record last updated?
The NPPES record for Ghislaine Balharry was last updated on November 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Ghislaine Belen Balharry, M.D. · NPI 1235541392
Hospitalist physician in Coral Gables, Florida. Individual provider, active in the CMS NPPES registry since May 23, 2014.
## Identity
- **NPI:** 1235541392 (Entity type: Individual)
- **Enumerated:** May 23, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME162095 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5000 UNIVERSITY DR, Coral Gables, FL 33146-2008
- **Phone:** (786) 308-2222 · **Fax:** (786) 533-9711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Baptist Health Medical Group Physicians LLC (NPI 1891893343, Miami, FL); Alliance Telehealth Network LLC (NPI 1477309789, Pensacola, FL); Hospitalist Consultants Group S.C. (NPI 1215125752, New Lenox, IL); Suburban Pulmonary & Sleep Associates Ltd (NPI 1649283896, Westmont, IL); Advance Inpatient Medicine LLC (NPI 1265989875, Oak Brook, IL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235541392) · Data from the CMS NPPES public registry.