DR. GHISLAINE BELEN BALHARRY M.D.
NPI 1235541392
Hospitalist in Coral Gables, FL

Q: 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.

Q: What is Ghislaine Balharry's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment

5000 UNIVERSITY DR, CORAL GABLES, FL 33146(786) 308-2222(786) 533-9711 Get Directions Write a Review

NPPES record last updated: November 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2025, Apr 8, 2024, May 26, 2023 and 2 more (5 updates tracked since 2017).

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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

NPI1235541392

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. GHISLAINE BELEN BALHARRYCredential: M.D.

Location Address5000 UNIVERSITY DRCoral Gables, FL 33146-2008

Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 308-2222 · Fax (786) 533-9711

Phone(786) 308-2222

Fax(786) 533-9711

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateMay 23, 2014

Last NPPES UpdateNovember 29, 20255 updates tracked since enumeration

NPPES CertifiedNovember 29, 2025

✔ NPI 1235541392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME162095

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036143992 (IL)

5000 UNIVERSITY DR, Coral Gables, FL 33146

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Secondary Practice Locations 2

Location 11431 N Western Ave Ste 406Chicago, IL 60622-1774 · Phone (312) 633-5841

Location 26141 N Cicero AveChicago, IL 60646-4303 · Phone (773) 907-7750 · Fax (773) 907-7760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1254620057

PECOS Enrollment IDI20230605001395

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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

230 services227 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services67 patients

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, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100314

Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County

Emergency services Birthing friendly

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101312

Location3301 Overseas HwyMarathon, FL 33050 · Monroe County

Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Physician 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.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

JULIETTE MORALES

Nurse Practitioner (Critical Care Medicine)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-3000

SPQ MEDICAL LLC

Emergency Medicine

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (786) 294-1707

BARBARA BESSA CRNA

Nurse Anesthetist, Certified Registered

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (305) 448-9018

ANNETTE VICTORIA DE LEON

Hospitalist

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-3000

EDUARDO E VILLALOBOS MD

Radiology (Diagnostic Radiology)

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (786) 308-2302

DOCTORS HOSPITAL INC

Pharmacy (Community/Retail Pharmacy)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-4204

JANY FUENTES APRN

Internal Medicine (Geriatric Medicine)

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (305) 505-0361

SILVIO S TANEV MD

Pathology (Clinical Pathology/Laboratory Medicine)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (305) 669-3471

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.

What insurance does Ghislaine Balharry accept?

Health plans from 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 8 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.