KELLY KATHLEEN BALLETTI
NPI 1790218634
Physician Assistant - Medical in Coral Gables, FL

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
135 SAN LORENZO AVE, SUITE #700, CORAL GABLES, FL 33146(305) 444-4979 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Kathleen Balletti NPPES

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

KELLY KATHLEEN BALLETTI (NPI 1790218634) is an individual medical provider in Coral Gables, Florida, licensed in Florida (9110317) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790218634
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY KATHLEEN BALLETTI
Location Address135 SAN LORENZO AVE, SUITE #700Coral Gables, FL 33146-1524
Mailing Address135 San Lorenzo Ave, Suite #700Coral Gables, FL 33146-1524 · (305) 444-4979
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1790218634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · 9110317
135 SAN LORENZO AVE, Coral Gables, FL 33146

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

Kelly Kathleen Balletti 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 ID6507133006
PECOS Enrollment IDI20170605002895
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
75 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services65 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
43 services36 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
42 services39 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
39 services19 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
18 services18 patients

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Gynecology)
135 SAN LORENZO AVE, SUITE 550
CORAL GABLES, FL 33146
Dentist (General Practice)
135 SAN LORENZO AVE, SUITE #640
CORAL GABLES, FL 33146
General Practice
135 SAN LORENZO AVE, UNIT 100
CORAL GABLES, FL 33146
Nurse Practitioner (Family)
135 SAN LORENZO AVE
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 Kelly Balletti's NPI number?

The NPI number for Kelly Balletti is 1790218634. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Kelly Balletti located?

Kelly Balletti practices at 135 San Lorenzo Ave Suite #700, Coral Gables, FL 33146. The listed phone number is (305) 444-4979.

What is Kelly Balletti's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Balletti enrolled in Medicare?

Yes. Kelly Balletti 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.

When was this NPI record last updated?

The NPPES record for Kelly Balletti was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.