Alyssa Porcelli, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17481 Issued in TX

Practice address

3430 W. Wheatland Road
Pob I Suite 104
Dallas, TX 75237

Phone

(469) 695-2020

Fax

(469) 695-2019

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Tmi Sports Medicine and Orthopedic Surgery PAGroup PAC ID 1052399508, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25955/brand/1/csg/1/fhir/r4
• Direct secure messaging: aporcelli1280963@direct.sw.org
• Direct secure messaging: alyssa.porcelli.1@25955.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tmi Sports Medicine and Orthopedic Surgery PA

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1972582690
  Medicare reassignment Care Compare group
• Tmi Sports Medicine and Orthopedic Surgery PA

  • Orthopaedic Surgery Physician
  • Mansfield, TX
  • NPI 1588357099
  NPD
• Medhealth

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1558762690
  NPD (past)
• Medhealth

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912957200
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Irving Coppell Surgical Hospital

  • Special Hospital
  • Irving, TX
  • NPI 1992772008
  Care Compare affiliation
• Irving-Coppell Surgical Hospital LLP

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1669569984
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1679207112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 W. WHEATLAND ROAD",
            "address_2": "POB I SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "469-695-2020",
            "fax_number": "469-695-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 W. WHEATLAND ROAD",
            "address_2": "POB I SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "469-695-2020",
            "fax_number": "469-695-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Lomo Alto Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752191516",
            "country_code": "US",
            "telephone_number": "214-559-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCELLI",
        "first_name": "ALYSSA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra E Pope
• Jeffrey Andrew Pope
• Zayla Pope
• Popharmacy LLC
• Samantha Popoola
• Jessica H Porembka, MD
• Matthew Ryan Porembka, MD
• Ginnie Elizabeth Porembski, L.P.C.
• Amy Ann Porras, LPC
• Lauren Porras

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.