DR. GHISLAINE BELEN BALHARRY (M.D.) – Hospitalist Physician, NPI 1235541392

DR. GHISLAINE BELEN BALHARRY (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. ME162095 (FL). The NPI Number for DR. GHISLAINE BELEN BALHARRY (M.D.) is 1235541392

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. GHISLAINE BELEN BALHARRY (M.D.)
NPI
1235541392
Phone
(312) 633-5841
Address
1431 N. WESTERN AVE
Enumeration Date
23 May 2014
Last Update Date
29 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7863083700
Graduation Year
2013 (13 years ago)
PAC ID
1254620057
Group Practice PAC ID
3870696933
Professional Enrollment ID
I20230605001395
Address ID
FL331462008CO5000XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
GHI17535@cerner.directbaptisthealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:12State licenses:2Other names

2,390 HOSPITALIST in IL

Provider Addresses for DR. GHISLAINE BELEN BALHARRY (M.D.)

  • 1431 N. WESTERN AVE

    #406

    CHICAGO, IL 60622

    Phone: (312) 633-5841

    Type: Mailing

  • 1431 N WESTERN AVE STE 406

    CHICAGO, IL 606221774

    Phone: (312) 633-5841

    Type: Location

  • 1431 N Western Ave Ste 406

    Chicago, IL 606221774

    Phone: (312) 633-5841

    Type: Location

  • 6141 N Cicero Ave

    Chicago, IL 606464303

    Phone: (773) 907-7750

    Fax: (773) 907-7760

    Type: Location

  • PO BOX 198054

    ATLANTA, GA 303848054

    Phone: (786) 308-2222

    Fax: (786) 533-9711

    Type: Mailing

  • 5000 UNIVERSITY DR

    CORAL GABLES, FL 331462008

    Phone: (786) 308-2222

    Fax: (786) 533-9711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170915000088IFamily PracticeILTBD
I20230605001395IHospitalistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes27799$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes110108$0
99239Hospital discharge day management, more than 30 minutes8885$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1918$0
View full utilization report →

Insurance plans in this area (ZIP 60622)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870696933View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GHISLAINE BELEN BALHARRY (M.D.)?
NPI 1235541392 is assigned to DR. GHISLAINE BELEN BALHARRY (M.D.) under the national enumeration system.
Is DR. GHISLAINE BELEN BALHARRY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. GHISLAINE BELEN BALHARRY (M.D.) as an active registrant.
What does DR. GHISLAINE BELEN BALHARRY (M.D.) treat or focus on?
Patients typically see DR. GHISLAINE BELEN BALHARRY (M.D.) under the specialty Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. GHISLAINE BELEN BALHARRY (M.D.)?
We surface Chicago, Illinois for DR. GHISLAINE BELEN BALHARRY (M.D.) based on available NPPES addresses.
Is DR. GHISLAINE BELEN BALHARRY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1235541392. Always confirm identity and privileges with the practice and licensing boards.

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