Thomas Charles Melillo, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP00334 Issued in OR

Practice address

9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877

Phone

(503) 245-2420

NPI assigned

Aug 29, 2006

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Extremity Specialists LLCGroup PAC ID 3577881747, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score

99.11 of 100Reported as apm

Quality

84.29

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.melillo@pfac.eclinicaldirectplus.com

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

• Northwest Extremity Specialists LLC

  • Podiatrist
  • Portland, OR
  • NPI 1295126241
  Medicare reassignment Care Compare group NPD Authorized official
• Northwest Extremity Specialists LLC

  dba NES Wilsonville

  • Podiatric Clinic/Center
  • Wilsonville, OR
  • NPI 1346973039
  NPD Authorized official
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Portland, OR
  • NPI 1124603055
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Portland, OR
  • NPI 1306421219
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Hillsboro, OR
  • NPI 1386229219
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Sherwood, OR
  • NPI 1477138303
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Portland, OR
  • NPI 1659956589
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Newberg, OR
  • NPI 1669057592
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Tigard, OR
  • NPI 1750966792
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Portland, OR
  • NPI 1760067698
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  • Podiatric Clinic/Center
  • Milwaukie, OR
  • NPI 1841875770
  Authorized official Same address or phone
• Northwest Extremity Specialists LLC

  dba NES Happy Valley

  • Podiatric Clinic/Center
  • Happy Valley, OR
  • NPI 1891428587
  Authorized official Same address or phone

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

• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1619085479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236877",
            "telephone_number": "503-245-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236877",
            "telephone_number": "503-245-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyob Brhane Meles
• Eden G. Melese
• Monica Melgar-Sharman, MSW
• Delissia Melgarejo Orozco
• Ivan Miami Melgarejo Orozco
• Travis Evar Melin, D.O.
• Meliora Clinic
• Melisa Alvarez Therapy LLC (Artemis Mental Health)
• Melissa Bensink, LLC
• Melissa Eshelman, MD, LLC

• Foot & Ankle Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.