Active NPIIndividual provider

Dr. Thomas Mellow, MD

Pediatrics, Pediatric Pulmonology in South Portland, Maine

NPI Number1003846361
Practice location
100 Foden RD Ste 103, South Portland, ME 04106-2327
Fax
207-828-0188
Last updated
March 24, 2026

Thomas Mellow is a Pediatrics, Pediatric Pulmonology based in South Portland, ME. Thomas Mellow practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Thomas Mellow is 1003846361 and holds a License No. 016021 (ME). The current practice location address for Thomas Mellow is 100 Foden RD Ste 103, South Portland, ME 04106-2327 and can be reached out via phone at 207-828-1122 and via fax at 207-828-0188.

Provider Profile Details

NPI Number
1003846361
Provider Name
Thomas Mellow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Foden RD Ste 103, South Portland, ME 04106-2327
Phone Number
207-828-1122
Fax Number
207-828-0188
Primary Taxonomy
Pediatrics, Pediatric Pulmonology · 2080P0214X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2006
Last Update Date
March 24, 2026
Certification Date
March 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Foden RD Ste 103
South Portland, ME 04106-2327
State
Maine
Zip
04106-2327
Phone Number
207-828-1122
Fax Number
207-828-0188
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
301 US Route 1
Scarborough, ME 04074-7609
City
Scarborough
State
ME
Zip
04074-7609
Phone Number
207-396-8600
Fax Number
207-396-8632

License Information

License Number (1)
016021
License State (1)
ME
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
016021
License State (2)
ME
Taxonomy (2)
Pediatrics, Pediatric Pulmonology · 2080P0214X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas Mellow, MD?

The NPI number of Dr. Thomas Mellow, MD is 1003846361. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas Mellow, MD?

Dr. Thomas Mellow, MD is registered under the primary taxonomy Pediatrics, Pediatric Pulmonology (code 2080P0214X), licensed in ME under license number 016021.

Where does Dr. Thomas Mellow, MD practice?

The practice location is 100 Foden RD Ste 103, South Portland, ME 04106-2327. The office can be reached at 207-828-1122 (phone) or 207-828-0188 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003846361 directly on the NPPES registry website.

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