Northwest Extremity Specialists LLC
NPI 1295126241ActiveOrganization· Podiatrist· Portland, OR
Podiatrist in Portland, Oregon, registered in NPPES in February 2015. The authorized official on file is Thomas Charles Melillo, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295126241 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2015 |
| Last updated in NPPES | Feb 8, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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