WESTLAKE DERMATOLOGY PA
NPI 1154598779
Dermatology in Marble Falls, TX
About Westlake Dermatology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTLAKE DERMATOLOGY PA (NPI 1154598779), doing business as Westlake Dermatology, is a healthcare organization registered as a dermatology in Marble Falls, Texas and active in the NPI registry since May 2008. The organization holds 2 active CLIA laboratory certificates and lists Gregory A Nikolaidis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Westlake Dermatology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Westlake Dermatology PA, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 54Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 45D1103581
Westlake Dermatology & Cosmetic Surgery Marble Falls · Marble Falls, TXCertificate of Waiver 45D2178958
Westlake Dermatology Clinical Research Center · Austin, TXCertificate of Compliance 45D2246068
Westlake Dermatology And Cosmetic Surgery · Austin, TXFrequently 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 Westlake Dermatology PA's NPI number?
The NPI number for Westlake Dermatology PA is 1154598779. It was assigned to this organization in the NPPES registry on May 13, 2008. The provider is doing business as Westlake Dermatology.
Where is Westlake Dermatology PA located?
Westlake Dermatology PA is located at 800 S Us Highway 281 Ste 202, Marble Falls, TX 78654. The listed phone number is (830) 693-4800.
What is Westlake Dermatology PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Westlake Dermatology PA enrolled in Medicare?
Yes. Westlake Dermatology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Westlake Dermatology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 6 Medicare specialties reassign their Medicare billing to Westlake Dermatology PA. 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 Dermatology (44), Plastic and Reconstructive Surgery (4) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Westlake Dermatology PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Westlake Dermatology PA was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Westlake Dermatology Pa · NPI 1154598779
Dermatology organization in Marble Falls, Texas. Organization record, active in the CMS NPPES registry since May 13, 2008.
## Identity
- **NPI:** 1154598779 (Entity type: Organization)
- **Enumerated:** May 13, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Westlake Dermatology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gregory Nikolaidis, PRESIDENT
## Practice location
- **Address:** 800 S US HIGHWAY 281 STE 202, Marble Falls, TX 78654-9703
- **Phone:** (830) 693-4800 · **Fax:** (830) 310-6380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 54 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (44), Plastic and Reconstructive Surgery (4), Nurse Practitioner (2); [full list](https://npiprofile.com/npi/1154598779/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
- **Other identifiers:** Other 00591T (TX)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154598779) · Data from the CMS NPPES public registry.