MIAMI BREAST CENTER LLC – Specialist, NPI 1063726099

MIAMI BREAST CENTER LLC is a healthcare provider. based in South miami, Florida. specializing in Specialist. The NPI Number for MIAMI BREAST CENTER LLC is 1063726099

Main info

Organization
Name
MIAMI BREAST CENTER LLC
NPI
1063726099
Phone
(305) 365-5595
Address
6050 S Dixie Hwy
Authorized Official
ROGER K KHOURI OWNER MD
Enumeration Date
2 August 2010
Last Update Date
26 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for MIAMI BREAST CENTER LLC

  • 6050 S Dixie Hwy

    South Miami, FL 331435042

    Phone: (305) 365-5595

    Fax: (305) 365-5516

    Type: Location

  • 580 CRANDON BLVD

    1ST FLOOR

    KEY BISCAYNE, FL 331491832

    Phone: (305) 365-5595

    Type: Mailing

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: 2011-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
O20110401000262OClinic/Group PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33143)

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Reviews

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Frequently asked questions

How do payers reference MIAMI BREAST CENTER LLC?
For MIAMI BREAST CENTER LLC, use NPI 1063726099 as the unique 10-digit identifier.
Would MIAMI BREAST CENTER LLC appear as active to a payer?
You can treat MIAMI BREAST CENTER LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MIAMI BREAST CENTER LLC's focus?
For MIAMI BREAST CENTER LLC, the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
Is MIAMI BREAST CENTER LLC located near South Miami?
MIAMI BREAST CENTER LLC currently maps to South Miami, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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