NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1760067698
Clinic/Center - Podiatric in Portland, OR

Active since March 11, 2021
5050 NE HOYT ST STE 411, PORTLAND, OR 97213(503) 643-1737(503) 643-4926 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northwest Extremity Specialists Llc NPPES

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

NORTHWEST EXTREMITY SPECIALISTS LLC (NPI 1760067698) is a healthcare organization registered as a podiatric in Portland, Oregon and active in the NPI registry since March 2021. The organization lists Thomas Charles Melillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1760067698
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST EXTREMITY SPECIALISTS LLC
Location Address5050 NE HOYT ST STE 411Portland, OR 97213-2983
Mailing Address9115 Sw Oleson Rd Ste 205Tigard, OR 97223-6877 · (503) 245-2420
Fax(503) 643-4926
Organization SubpartYes
Authorized OfficialThomas Charles MelilloOwner · (503) 245-2420
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1760067698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
5050 NE HOYT ST STE 411, Portland, OR 97213

Other Names 1

Other NameNes Hoyt

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20210621002467DME · Physician - PodiatryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

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

Surgery (Vascular Surgery)
5050 NE HOYT ST STE 411
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST STE 411
PORTLAND, OR 97213

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 1760067698. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is also known as NES Hoyt.

Where is Northwest Extremity Specialists LLC located?

Northwest Extremity Specialists LLC is located at 5050 NE Hoyt St Ste 411, Portland, OR 97213. The listed phone number is (503) 643-1737.

What is Northwest Extremity Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Northwest Extremity Specialists LLC enrolled in Medicare?

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

When is Northwest Extremity Specialists LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Podiatry) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Northwest Extremity Specialists LLC accept?

Health plans from Providence Health Plan 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 March 11, 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.