Northwest Extremity Specialists LLC
NPI 1124603055 · Podiatric Clinic/Center · Portland, OR
Northwest Extremity Specialists LLC is a Podiatric Clinic/Center organization in Portland, OR (NPI 1124603055).
Provider details
- NPI number
- 1124603055
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northwest Extremity Specialists LLC
- Organization subpart
- Yes
- Authorized official
- Thomas Melillo, Owner(503) 245-2420
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Nes Gresham
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Frequently asked questions
- What is Northwest Extremity Specialists LLC's NPI number?
- Northwest Extremity Specialists LLC's National Provider Identifier (NPI) is 1124603055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Extremity Specialists LLC?
- Northwest Extremity Specialists LLC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northwest Extremity Specialists LLC located?
- Northwest Extremity Specialists LLC's practice location on file with NPPES is 12658 Se Stark St Bldg H, Portland, OR 97233-1058.
- What is Northwest Extremity Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Extremity Specialists LLC is (503) 221-1581.
- Who is the authorized official for Northwest Extremity Specialists LLC?
- The authorized official listed on Northwest Extremity Specialists LLC's NPPES record is Thomas Melillo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Extremity Specialists LLC's NPI active?
- Yes — Northwest Extremity Specialists LLC's NPI (1124603055) is active in the NPPES registry as of the last update on 2021-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.