WESTLAKE DERMATOLOGY, PA
NPI 1891029476
Dermatology in Lakeway, TX
About Westlake Dermatology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTLAKE DERMATOLOGY, PA (NPI 1891029476) is a healthcare organization registered as a dermatology in Lakeway, Texas and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through November 25, 2028 and lists Gregory Nikolaidis, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
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. Of these, 1 practice at this address and 19 within 10 miles. 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
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 Waiver 45D2129193
Westlake Dermatology & Cosmetic Surgery Lakeway · Lakeway, 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 1891029476. It was assigned to this organization in the NPPES registry on September 29, 2009.
Where is Westlake Dermatology, PA located?
Westlake Dermatology, PA is located at 401 Rr 620 N Suite 200, Lakeway, TX 78734. The listed phone number is (512) 610-0549.
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, 1 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Westlake Dermatology, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2129193) is associated with this NPI, valid through November 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Westlake Dermatology, PA accept?
Health plans from WellPoint list Westlake Dermatology, PA 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 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 44 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 1891029476
Dermatology organization in Lakeway, Texas. Organization record, active in the CMS NPPES registry since September 29, 2009.
## Identity
- **NPI:** 1891029476 (Entity type: Organization)
- **Enumerated:** September 29, 2009
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Gregory Nikolaidis, OWNER/PRESIDENT
## Practice location
- **Address:** 401 RR 620 N, SUITE 200, Lakeway, TX 78734-3910
- **Phone:** (512) 610-0549 · **Fax:** (512) 306-0222
## 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); 1 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1891029476/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891029476) · Data from the CMS NPPES public registry.