VENUS BREAST CENTER PLLC
NPI 1710745559
Clinic/Center in Southlake, TX

Active since March 07, 2024
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092(817) 704-0783(817) 704-0755 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2026, Nov 4, 2025, Sep 19, 2025 and 4 more (7 updates tracked since 2024).

About Venus Breast Center Pllc NPPES

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

VENUS BREAST CENTER PLLC (NPI 1710745559) is a healthcare organization registered as a clinic/center in Southlake, Texas and active in the NPI registry since March 2024. The organization lists Miral Sapan Amin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710745559
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVENUS BREAST CENTER PLLC
Location Address1230 N KIMBALL AVE STE 130Southlake, TX 76092-4750
Mailing Address1230 N Kimball Ave Ste 130Southlake, TX 76092-4750 · (817) 704-0783 · Fax (817) 704-0755
Fax(817) 704-0755
Organization SubpartNo
Authorized OfficialMiral Sapan AminMedical Director · (248) 760-3339
Enumeration DateMarch 7, 2024
Last NPPES UpdateMay 1, 20267 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1710745559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1230 N KIMBALL AVE STE 130, Southlake, TX 76092

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Venus Breast Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Surgical Oncology
NPI 1699943720
1230 N KIMBALL AVE STE 130
Southlake, TX 76092
(248) 760-3339
✔ PECOS✔ Accepts MedicareSame address

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 Venus Breast Center PLLC's NPI number?

The NPI number for Venus Breast Center PLLC is 1710745559. It was assigned to this organization in the NPPES registry on March 7, 2024.

Where is Venus Breast Center PLLC located?

Venus Breast Center PLLC is located at 1230 N Kimball Ave Ste 130, Southlake, TX 76092. The listed phone number is (817) 704-0783.

What is Venus Breast Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Venus Breast Center PLLC enrolled in Medicare?

Yes. Venus Breast Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Venus Breast Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Surgical Oncology) reassigns their Medicare billing to Venus Breast Center PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Venus Breast Center PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Venus Breast Center PLLC 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 Venus Breast Center PLLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.