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WESTLAKE DERMATOLOGY, PA
NPI 1891029476
Dermatology in Lakeway, TX

Active since September 29, 2009CLIA 45D2129193 · Waiver
401 RR 620 N, SUITE 200, LAKEWAY, TX 78734(512) 610-0549(512) 306-0222 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, 2026 and lists Gregory Nikolaidis, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1891029476
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTLAKE DERMATOLOGY, PA
Location Address401 RR 620 N, SUITE 200Lakeway, TX 78734-3910
Mailing Address6836 Bee Caves Rd, Suite 111Austin, TX 78746-5059 · (512) 328-3376 · Fax (512) 306-0222
Phone(512) 610-0549
Fax(512) 306-0222
Organization SubpartNo
Authorized OfficialGregory NikolaidisOwner/president · (512) 328-3376
Enumeration DateSeptember 29, 2009
✔ NPI 1891029476 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 ListedAllergy & ImmunologyTaxonomy 207K00000X
401 RR 620 N, Lakeway, TX 78734
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Other Identifiers 1

Medicare PIN00591TTX

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 WellPoint.Insurance ›

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, TX
Active · expires Nov 25, 2026
CLIA Number45D2129193
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorGregory A. Nikolaidis
Laboratory Phone(512) 610-0549
Laboratory LocationWestlake Dermatology & Cosmetic Surgery Lakeway401 Ranch Road 620 South Ste 200, Lakeway, TX 78734
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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, 2026. 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 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.