Individual provider Active NPI

Alyssa Calyse Rodriguez, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1891488425
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20014 Issued in TX
Practice address
5301 Davis LN Ste 100
Austin, TX 78749-4031
Phone
(512) 615-2730
Fax
(512) 666-3764
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20014 TX Primary

Addresses

Primary practice location

5301 Davis LN Ste 100
Austin, TX 78749-4031

Mailing address

5301 Davis LN Ste 100
Austin, TX 78749-4031
Phone (512) 615-2730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260304001390 TX Practitioner - Physician Assistant 4789166257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13492 Research Blvd
Suite 120
Austin, TX 78750

5301 Davis LN
Suite 100
Austin, TX 78749-4031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20014TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Dermatology, PA CurrentSince Mar 1, 2026 Accepting new patients

Locations

5301 Davis Ln
Bldg A100
Austin, TX 78749

120 E Market St
Ste 100
Lockhart, TX 78644
Phone (512) 798-8880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1891488425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494031",
            "telephone_number": "512-615-2730",
            "fax_number": "512-666-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494031",
            "telephone_number": "512-615-2730",
            "fax_number": "512-666-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALYSSA",
        "middle_name": "CALYSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.