Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WESTLAKE DERMATOLOGY PA
NPI 1477678993
Dermatology in Round Rock, TX

Active since March 21, 2007
1760 ROUND ROCK AVE, ROUND ROCK, TX 78681(512) 583-3376(512) 306-0222 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Westlake Dermatology Pa NPPES

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

WESTLAKE DERMATOLOGY PA (NPI 1477678993), doing business as Westlake Dermatology, is a healthcare organization registered as a dermatology in Round Rock, Texas and active in the NPI registry since March 2007. The organization lists Gregory Nikolaidis, President, as its authorized official.

NPPES Registry Identity

NPI1477678993
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTLAKE DERMATOLOGY PA
Location Address1760 ROUND ROCK AVERound Rock, TX 78681-4217
Mailing Address8825 Bee Caves Rd Ste 100Austin, TX 78746-4721 · (512) 328-3376
Fax(512) 306-0222
Organization SubpartNo
Authorized OfficialGregory NikolaidisPresident · (512) 328-3376
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1477678993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
1760 ROUND ROCK AVE, Round Rock, TX 78681

Other Names 1

Doing Business AsWestlake Dermatology

Other Identifiers 2

Other00591TTX · Bcbs Of Texas Group#
Medicaid211724401TX

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

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

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Westlake Dermatology PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Dermatology44
Plastic and Reconstructive Surgery4
Nurse Practitioner2
Pathology2
Micrographic Dermatologic Surgery (MDS)1
Otolaryngology1

Nearest to this location (20)

See all 54
Dermatology
NPI 1053848762
1760 ROUND ROCK AVE
Round Rock, TX 78681
(512) 583-3376
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1720063480
1760 ROUND ROCK AVE
Round Rock, TX 78681
(512) 583-3376
✔ PECOSSame address
Dermatology
NPI 1124462833
1760 ROUND ROCK AVE
Round Rock, TX 78681
(512) 583-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1447571849
1760 ROUND ROCK AVE
Round Rock, TX 78681
(512) 583-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1770945719
12319 N MOPAC EXPY STE 100
Austin, TX 78758
(512) 837-3376
✔ PECOS✔ Accepts Medicare6.6 mi
Dermatology
NPI 1619047339
12319 N MOPAC EXPY BLDG. C, STE. 100
Austin, TX 78758
(512) 837-3376
✔ PECOS✔ Accepts Medicare6.6 mi
Dermatology
NPI 1174663835
12319 N MOPAC EXPY BLDG. C, STE. 100
Austin, TX 78758
(512) 837-3376
✔ PECOS✔ Accepts Medicare6.6 mi
Dermatology
NPI 1972130581
11801 DOMAIN BLVD STE C1120
Austin, TX 78758
(512) 276-3376
✔ PECOS✔ Accepts Medicare7.5 mi
Dermatology
NPI 1972995058
10860 E CRYSTAL FALLS PKWY STE 230
Leander, TX 78641
(512) 298-1130
✔ PECOS✔ Accepts Medicare7.5 mi
Dermatology
NPI 1265797427
200 S LAKELINE BLVD STE A
Cedar Park, TX 78613
(512) 617-3000
✔ PECOS✔ Accepts Medicare8.6 mi
Dermatology
NPI 1306138193
200 S LAKELINE BLVD STE A
Cedar Park, TX 78613
(512) 617-3000
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1639975915
200 N LAKELINE BLVD STE A
Cedar Park, TX 78613
(512) 617-3000
✔ PECOS8.6 mi
Dermatology
NPI 1982348090
200 N LAKELINE BLVD STE A
Cedar Park, TX 78613
(512) 617-3000
✔ PECOS8.6 mi
Dermatology
NPI 1306166152
3637 FAR WEST BLVD STE E
Austin, TX 78731
(512) 615-2737
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1376075507
4235 WILLIAMS DR
Georgetown, TX 78628
(512) 279-3376
✔ PECOS✔ Accepts Medicare12 mi
Otolaryngology
NPI 1194823096
3800 N LAMAR BLVD STE 155
Austin, TX 78756
(512) 617-9200
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1205799962
8825 BEE CAVES RD
Austin, TX 78746
(512) 328-3376
✔ PECOS✔ Accepts Medicare16 mi
Pathology
NPI 1841797446
8825 BEE CAVES RD STE 100
Austin, TX 78746
(512) 328-3376
✔ PECOS✔ Accepts Medicare16 mi
Plastic and Reconstructive Surgery
NPI 1235336488
8825 BEE CAVES RD STE 100
Austin, TX 78746
(512) 328-3376
✔ PECOS16 mi
Pathology
NPI 1386987840
8825 BEE CAVES RD STE 100
Austin, TX 78746
(512) 328-3376
✔ PECOS✔ Accepts Medicare16 mi
See all 54 clinicians

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 Westlake Dermatology PA's NPI number?

The NPI number for Westlake Dermatology PA is 1477678993. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Westlake Dermatology.

Where is Westlake Dermatology PA located?

Westlake Dermatology PA is located at 1760 Round Rock Ave, Round Rock, TX 78681. The listed phone number is (512) 583-3376.

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). Of these, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 40 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.