Northwest Extremity Specialists LLC
NPI 1295126241 · Podiatrist · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northwest Extremity Specialists LLC is a Podiatrist organization in Portland, OR (NPI 1295126241).
Provider details
- NPI number
- 1295126241
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Thomas Melillo, Owner(503) 245-2420
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
12 documented practice locations
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
Additional practice locations (11)
- 10690 Ne Cornell Rd Ste 212Hillsboro, OR 97124-9224Phone: (503) 245-2420Fax: (503) 245-2445
- 6542 Se Lake Rd Ste 102Milwaukie, OR 97222-2245Phone: (503) 659-6686Fax: (503) 905-6202
- 201 N Washington StNewberg, OR 97132-2727Phone: (503) 538-0800Fax: (503) 554-8408
- 1000 N Providence Dr Ste 320Newberg, OR 97132-7582Phone: (503) 245-2420Fax: (503) 245-2445
- 2222 Nw Lovejoy St Ste 510Portland, OR 97210-5103Phone: (503) 221-1581Fax: (503) 221-1582
- 5050 Ne Hoyt St Ste 411Portland, OR 97213-2983Phone: (503) 643-1737Fax: (503) 643-4926
- 12658 Se Stark St Bldg HPortland, OR 97233-1058Phone: (503) 221-1581Fax: (503) 221-1582
- 12400 Nw Cornell Rd Ste 201
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Frequently asked questions
- What is Northwest Extremity Specialists LLC's NPI number?
- Northwest Extremity Specialists LLC's National Provider Identifier (NPI) is 1295126241, 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 Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Northwest Extremity Specialists LLC located?
- Northwest Extremity Specialists LLC's practice location on file with NPPES is 9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877.
- 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) 245-2420.
- Does Northwest Extremity Specialists LLC accept Medicare?
- Northwest Extremity Specialists LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1295126241) is active in the NPPES registry as of the last update on 2021-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.