EVAN JAMES MELILLO
NPI 1750868238
Physician Assistant - Surgical in Norwalk, CT

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evan James Melillo NPPES

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

EVAN JAMES MELILLO (NPI 1750868238) is an individual surgical provider in Norwalk, Connecticut and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750868238
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameEVAN JAMES MELILLO
Location Address34 MAPLE STNorwalk, CT 06850-3815
Mailing Address73 Sweet Farm RdPortsmouth, RI 02871-1238 · (401) 529-4121
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 26, 2018
NPI 1750868238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
34 MAPLE ST, Norwalk, CT 06850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evan James Melillo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072857275
PECOS Enrollment IDI20191226001137
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Dietitian, Registered
34 MAPLE ST
NORWALK, CT 06850
Dietitian, Registered
34 MAPLE ST, NORWALK HOSPITAL
NORWALK, CT 06850
Dietitian, Registered
34 MAPLE ST
NORWALK, CT 06850
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Family Medicine
34 MAPLE ST
NORWALK, CT 06850
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Pediatrics (Neonatal-Perinatal Medicine)
34 MAPLE ST
NORWALK, CT 06850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750868238, enumerated as an "individual" on July 26, 2018.

The provider is located at 34 MAPLE ST NORWALK, CT 06850 and the phone number is (203) 852-2000.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Evan Melillo is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL.