ALBERT EDWARD TELFEIAN M.D.
NPI 1164472916
Neurological Surgery in Providence, RI

NPI Status: Active since May 11, 2006

Contact Information

593 EDDY ST
APC 6
PROVIDENCE, RI
ZIP 02903
Phone: (401) 793-9153
Fax: (401) 444-2024

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  • Individual
  • Male
  • Neurological Surgery
  • PECOS Enrolled
  • Opted-Out Medicare

About ALBERT TELFEIAN

This page provides the complete NPI Profile along with additional information for Albert Telfeian, a provider established in Providence, Rhode Island with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1164472916 assigned on May 2006. The practitioner's primary taxonomy code is 207T00000X with license number CMD13914 (RI). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1164472916
Provider Name
ALBERT EDWARD TELFEIAN M.D.
Gender
Male
Entity Type
Individual
Location Address
593 EDDY ST APC 6 PROVIDENCE, RI 02903
Location Phone
(401) 793-9153
Location Fax
(401) 444-2024
Mailing Address
593 EDDY ST APC 6 PROVIDENCE, RI 02903
Mailing Phone
(401) 793-9153
Mailing Fax
(401) 444-2024
Is Sole Proprietor?
No
Enumeration Date
05-11-2006
Last Update Date
08-15-2013
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Albert Telfeian opted out of Medicare effective on 07-01-2025 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
CMD13914
License State
RI
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

25MA08656300 (NJ)
2207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

L7897 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8B4322OTHER (01)TXBCBS
P00218436MEDICARE PIN (08)TX 
8B5039MEDICARE PIN (08)TX 
H78563MEDICARE UPIN (02)TX 
167188501MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

Albert Telfeian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2025

  • Opt-Out End Date: 07-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 42 times for 35 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 27 times for 26 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 13 times for 13 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 97 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 25 times for 25 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 15 times for 15 patients

Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace

This procedure involves the partial removal of a spine bone to alleviate pressure on the spinal cord or nerves. It may also involve removing a disc from one interspace. A re-exploration is done to ensure the success of the procedure and the relief of symptoms.

This service was performed 14 times for 12 patients

Spinal fusion

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 34 times for 27 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02903 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.17
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.93
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $18.23
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164472916, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 8 + 7 + 4 + 9 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164472916.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Pediatrics (Pediatric Hematology-Oncology)
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Pediatrics (Pediatric Nephrology)
593 EDDY ST, HASBRO 122
PROVIDENCE, RI 02903
Pharmacist (Pharmacotherapy)
593 EDDY ST, PHARMACY SERVICES
PROVIDENCE, RI 02903
Nurse Practitioner
593 EDDY ST, APC 456
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST, APC 4
PROVIDENCE, RI 02903
Internal Medicine
593 EDDY ST
PROVIDENCE, RI 02903
Nutritionist
593 EDDY ST, RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
Internal Medicine
593 EDDY ST, POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903
Emergency Medicine
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Forensic Psychiatry)
593 EDDY ST, RHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
Internal Medicine (Hematology & Oncology)
593 EDDY ST, APC MAIN
PROVIDENCE, RI 02903
Psychiatry & Neurology (Child & Adolescent Psychiatry)
593 EDDY ST, PHYSICIAN'S OFFICE BLDG., # 122
PROVIDENCE, RI 02903
Marriage & Family Therapist
593 EDDY ST, POTTER 3
PROVIDENCE, RI 02903
Psychologist (Clinical Child & Adolescent)
593 EDDY ST, APC 970
PROVIDENCE, RI 02903
Psychiatry & Neurology (Psychiatry)
593 EDDY ST, POTTER 2
PROVIDENCE, RI 02903
Registered Nurse (Psychiatric/Mental Health, Adult)
593 EDDY ST, MAIN BLDG., ROOM 038
PROVIDENCE, RI 02903
Clinical Neuropsychologist
593 EDDY ST, POB 430
PROVIDENCE, RI 02903
Psychologist (Clinical)
593 EDDY ST, POTTER 3
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology)
593 EDDY ST, RHODE ISLAND HOSPITAL DEPARTMENT OF PATHOLOGY
PROVIDENCE, RI 02903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164472916, enumerated as an "individual" on May 11, 2006.

The provider is located at 593 EDDY ST APC 6 PROVIDENCE, RI 02903 and the phone number is (401) 793-9153.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.