Ghislaine Balharry, M.D.
NPI 1235541392 · Hospitalist Physician · Coral Gables, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ghislaine Balharry, M.D. is a Hospitalist Physician provider in Coral Gables, FL (NPI 1235541392).
Provider details
- NPI number
- 1235541392
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME162095 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
297 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 230 | $180 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 67 | $139 |
Typical Medicare-allowed amounts for these services range $139–$180 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 1431 N Western Ave Ste 406Chicago, IL 60622-1774Phone: (312) 633-5841
- 6141 N Cicero AveChicago, IL 60646-4303Phone: (773) 907-7750Fax: (773) 907-7760
Registry dates
- Enumerated
- 2014-05-23
- Last updated
- 2025-11-29
- Certified
- 2025-11-29
Frequently asked questions
- What is Ghislaine Balharry's NPI number?
- Ghislaine Balharry's National Provider Identifier (NPI) is 1235541392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ghislaine Balharry's specialty?
- Ghislaine Balharry is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Ghislaine Balharry located?
- Ghislaine Balharry's practice location on file with NPPES is 5000 University Dr, Coral Gables, FL 33146-2008.
- What is Ghislaine Balharry's phone number?
- The practice phone number listed in the NPPES registry for Ghislaine Balharry is (786) 308-2222.
- Does Ghislaine Balharry accept Medicare?
- Ghislaine Balharry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ghislaine Balharry's NPI active?
- Yes — Ghislaine Balharry's NPI (1235541392) is active in the NPPES registry as of the last update on 2025-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.