Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas Charles Melillo, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1619085479

Thomas Charles Melillo, DPM is a Podiatry in Portland, Oregon. Graduated from Kent State University College of Podiatric Medicine in 1998, 28 years ago. Practices with Northwest Extremity Specialists LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
28
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877
Phone: (503) 245-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00334 (OR)

Record details

NPI number1619085479
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1998 (28 years in practice)
Group practice Northwest Extremity Specialists Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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