Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Kathleen Balletti

Individual provider Medical Physician Assistant · NPI 1790218634

Kelly Kathleen Balletti is a Physician Assistant in Coral Gables, Florida. Qualified in 2017, 9 years ago. Practices with Alysa R. Herman, MD, PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

135 San Lorenzo Ave Ste #700
Coral Gables, FL 33146-1524
Phone: (305) 444-4979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9110317 (FL)

Record details

NPI number1790218634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2017
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Alysa R. Herman, Md, Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients82
Services billed 333 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Alysa R. Herman, MD, PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Coral Gables