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NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1295126241
Podiatrist in Portland, OR

Active since February 12, 2015
9115 SW OLESON RD STE 205, PORTLAND, OR 97223(503) 245-2420 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, Jan 6, 2021 (2 updates tracked since 2021).

About Northwest Extremity Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST EXTREMITY SPECIALISTS LLC (NPI 1295126241) is a healthcare organization registered as a podiatrist in Portland, Oregon and active in the NPI registry since February 2015. The organization maintains 11 additional practice locations and lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1295126241
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address9115 SW OLESON RD STE 205Portland, OR 97223-6877
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
Phone(503) 245-2420
Organization SubpartNo
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateFebruary 12, 2015
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1295126241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9115 SW OLESON RD STE 205, Portland, OR 97223
Open in Google Maps ↗

Secondary Practice Locations 11

Location 15499 Amy StWest Linn, OR 97068-3320 · Phone (503) 655-0775 · Fax (503) 655-0751
Location 210690 NE Cornell Rd Ste 212Hillsboro, OR 97124-9224 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 316770 SW Edy Rd Ste 318Sherwood, OR 97140-9678 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 42222 NW Lovejoy St Ste 510Portland, OR 97210-5103 · Phone (503) 221-1581 · Fax (503) 221-1582
Location 5201 N Washington StNewberg, OR 97132-2727 · Phone (503) 538-0800 · Fax (503) 554-8408
Location 61000 N Providence Dr Ste 320Newberg, OR 97132-7582 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 76542 SE Lake Rd Ste 102Milwaukie, OR 97222-2245 · Phone (503) 659-6686 · Fax (503) 905-6202
Location 85050 NE Hoyt St Ste 411Portland, OR 97213-2983 · Phone (503) 643-1737 · Fax (503) 643-4926
Location 912658 SE Stark St Bldg HPortland, OR 97233-1058 · Phone (503) 221-1581 · Fax (503) 221-1582
Location 1012400 NW Cornell Rd Ste 201Portland, OR 97229-5689 · Phone (503) 643-1737 · Fax (503) 643-4926
Location 1118040 SW Lower Boones Ferry Rd Ste 207Tigard, OR 97224-7259 · Phone (503) 245-2420 · Fax (503) 245-2445

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Extremity Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Northwest Extremity Specialists LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Podiatry15
Physical Therapist in Private Practice5
Orthopedic Surgery1
Pathology1

Nearest to this location (20)

See all 22
Thomas Melillo, DPM
Podiatry
NPI 1619085479
9115 SW OLESON RD STE 205
Portland, OR 97223
(503) 245-2420
✔ PECOS✔ Accepts MedicareSame address
Melinda Nicholes, DPM
Podiatry
NPI 1699330803
9115 SW OLESON RD STE 205
Portland, OR 97223
(503) 245-2420
✔ PECOS✔ Accepts MedicareSame address
Brian Horak, PT
Physical Therapist in Private Practice
NPI 1972590735
9115 SW OLESON RD STE 206
Portland, OR 97223
(503) 245-2420
Same address
Chad Smurthwaite, PT, DPT
Physical Therapist in Private Practice
NPI 1386391852
9115 SW OLESON RD STE 205
Portland, OR 97223
(503) 245-5710
✔ Accepts MedicareSame address
Michael Scotto, DPT
Physical Therapist in Private Practice
NPI 1609441682
9115 SW OLESON RD STE 206
Portland, OR 97223
(503) 245-2420
✔ Accepts MedicareSame address
Ronald Bowman, MD
Orthopedic Surgery
NPI 1902849771
9445 SW LOCUST ST
Portland, OR 97223
(503) 352-1313
✔ PECOS✔ Accepts Medicare0.5 mi
Yama Dehqanzada, D.P.M.
Podiatry
NPI 1154338275
9900 SW HALL BLVD SUITE 100
Tigard, OR 97223
(503) 245-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Todd Galle, DPM
Podiatry
NPI 1629048533
9900 SW HALL BVLD SUITE 100
Tigard, OR 97223
(503) 245-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Jason Surratt, DPM
Podiatry
NPI 1649386541
9900 SW HALL BLVD SUITE 100
Tigard, OR 97223
(503) 245-2420
✔ PECOS✔ Accepts Medicare0.6 mi
Michael Mesa, DO
Pathology
NPI 1184744351
8192 SW DURHAM RD
Tigard, OR 97224
(503) 257-5568
✔ PECOS✔ Accepts Medicare3.6 mi
Clifford Mah, D.P.M.
Podiatry
NPI 1962454934
12400 NW CORNELL RD SUITE 201
Portland, OR 97229
(503) 643-1737
✔ PECOS✔ Accepts Medicare5.1 mi
Cara Beach, DPM
Podiatry
NPI 1619338829
12400 NW CORNELL RD STE 201
Portland, OR 97229
(503) 643-1737
✔ PECOS✔ Accepts Medicare5.1 mi
Denny Le, DPM
Podiatry
NPI 1285977470
12400 NW CORNELL RD STE 201
Portland, OR 97229
(503) 643-1737
✔ PECOS✔ Accepts Medicare5.1 mi
Alexandria Mcniven, PT
Physical Therapist in Private Practice
NPI 1457927626
12400 NW CORNELL RD STE 201
Portland, OR 97229
(503) 643-1737
5.1 mi
Magnus Schlyer, DPM
Podiatry
NPI 1023684271
12400 NW CORNELL RD
Portland, OR 97229
(503) 643-1737
✔ PECOS✔ Accepts Medicare5.1 mi
Peter Pham, DPM
Podiatry
NPI 1568877264
17200 NW CORRIDOR CT STE 108
Beaverton, OR 97006
(503) 292-9252
✔ PECOS✔ Accepts Medicare6.8 mi
Timothy Dominick, D.P.T.
Physical Therapist in Private Practice
NPI 1356342661
16770 SW EDY RD STE 310
Sherwood, OR 97140
(503) 216-9731
✔ Accepts Medicare7.1 mi
Manny Moy, DPM
Podiatry
NPI 1639162795
6542 SE LAKE RD SUITE 102
Milwaukie, OR 97222
(506) 659-6686
✔ PECOS✔ Accepts Medicare8.8 mi
Stephen Fekete, D.P.M.
Podiatry
NPI 1356452247
29756 SW TOWN CENTER LOOP W STE H
Wilsonville, OR 97070
(503) 682-6035
✔ PECOS✔ Accepts Medicare10 mi
Lacey Beth Lockhart
Podiatry
NPI 1497149454
5125 SKYLINE RD S
Salem, OR 97306
(800) 813-2000
✔ PECOS✔ Accepts Medicare42 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Extremity Specialists LLC's NPI number?

The NPI number for Northwest Extremity Specialists LLC is 1295126241. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 9115 SW Oleson Rd Ste 205, Portland, OR 97223. The listed phone number is (503) 245-2420.

What is Northwest Extremity Specialists LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Northwest Extremity Specialists LLC enrolled in Medicare?

Yes. Northwest Extremity Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Extremity Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Northwest Extremity Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Podiatry (15), Physical Therapist in Private Practice (5) and Orthopedic Surgery (1). Of these, 5 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Extremity Specialists LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Northwest Extremity Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Extremity Specialists LLC was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.