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

Kevin Gregory Ballweg

Individual provider Physician Assistant · NPI 1508721762

Kevin Gregory Ballweg is a Physician Assistant in Fort Myers, Florida. Qualified in 2025, 1 year ago. Works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone: (239) 343-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 23450 Via Coconut Pt, Estero, FL 34135-1877 — (239) 468-0095
  • 2776 Cleveland Ave, Fort Myers, FL 33901-5864 — (239) 343-2000
  • 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 — (239) 343-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9121398 (FL)

Record details

NPI number1508721762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2025
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Myers