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MIAMI BREAST CENTER LLC
NPI 1063726099
Specialist in Key Biscayne, FL

Active since August 02, 2010
580 CRANDON BLVD, 1ST FLOOR, KEY BISCAYNE, FL 33149(305) 365-5595 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miami Breast Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIAMI BREAST CENTER LLC (NPI 1063726099) is a healthcare organization registered as a specialist in Key Biscayne, Florida and active in the NPI registry since August 2010. The organization maintains a secondary practice location in South Miami and lists Roger K Khouri, Owner, as its authorized official.

NPPES Registry Identity

NPI1063726099
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIAMI BREAST CENTER LLC
Location Address580 CRANDON BLVD, 1ST FLOORKey Biscayne, FL 33149-1832
Mailing Address580 Crandon Blvd, 1st FloorKey Biscayne, FL 33149-1832 · (305) 365-5595
Phone(305) 365-5595
Organization SubpartNo
Authorized OfficialRoger K KhouriOwner · (305) 365-5595
Enumeration DateAugust 2, 2010
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1063726099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
580 CRANDON BLVD, Key Biscayne, FL 33149
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Secondary Practice Location 1

Location 16050 S Dixie HwySouth Miami, FL 33143-5042 · Phone (305) 365-5595 · Fax (305) 365-5516

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miami Breast Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Miami Breast Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Richard Nadal, MD
Plastic and Reconstructive Surgery
NPI 1124225529
580 CRANDON BLVD SUITE 102
Key Biscayne, FL 33149
(305) 365-5595
✔ PECOSSame address
Daniel Calva-Cerqueira, M.D.
Plastic and Reconstructive Surgery
NPI 1366651549
2734 SW 37TH AVE
Coconut Grove, FL 33133
(305) 642-4263
✔ PECOS✔ Accepts Medicare6.6 mi
Raul Cortes, M.D.
Hand Surgery
NPI 1932273240
2734 SW 37TH AVE
Coconut Grove, FL 33133
(305) 642-4263
✔ PECOS✔ Accepts Medicare6.6 mi
Kimberly Khouri, MD
Plastic and Reconstructive Surgery
NPI 1083176978
2734 SW 37TH AVE
Coconut Grove, FL 33133
(305) 642-4263
✔ PECOS6.6 mi
Roger Khouri, MD
Plastic and Reconstructive Surgery
NPI 1740232784
2734 SW 37TH AVE
Coconut Grove, FL 33133
(305) 642-4260
✔ PECOS✔ Accepts Medicare6.6 mi
Rafael Pena Pena, APRN
Nurse Practitioner
NPI 1508516550
2734 SW 37TH AVE
Coconut Grove, FL 33133
(305) 642-4263
✔ PECOS6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miami Breast Center LLC's NPI number?

The NPI number for Miami Breast Center LLC is 1063726099. It was assigned to this organization in the NPPES registry on August 2, 2010.

Where is Miami Breast Center LLC located?

Miami Breast Center LLC is located at 580 Crandon Blvd 1st Floor, Key Biscayne, FL 33149. The listed phone number is (305) 365-5595.

What is Miami Breast Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Miami Breast Center LLC enrolled in Medicare?

Yes. Miami Breast Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miami Breast Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Miami Breast Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Plastic and Reconstructive Surgery (4), Hand Surgery (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Miami Breast Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Molina Healthcare list Miami Breast Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miami Breast Center LLC was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.