Individual provider Active NPI

Gladys Telang, M.D.

  • Dermatology Physician
  • Providence, RI
National Provider Identifier
1063466621
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD10812 Issued in RI
Practice address
167 Point St Ste 260
Providence, RI 02903-4771
Phone
(401) 443-5122
NPI assigned
May 19, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD10812 RI Primary
Dermatopathology (Pathology) Physician 207ZD0900X MD10812 RI

Addresses

Primary practice location

167 Point St Ste 260
Providence, RI 02903-4771

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

400 Bald Hill Rd Fl 2
Warwick, RI 02886-1617
Phone (401) 444-7959

Other identifiers 1

IdentifierTypeStateIssuer
1063466621MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000721 RI Practitioner - PathologyPractitioner - Dermatology 1557312352 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians
Brown Dermatology IncGroup PAC ID 3870872773, 28 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions258
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Aug 1, 2018 Accepting new patients
Rhode Island Hospital Dermatopathology CurrentSince Feb 5, 2017 Accepting new patients
Affinity Physicians LLC. CurrentSince Aug 1, 2018 Accepting new patients
Newport Hospital Current Accepting new patients
The Miriam Hospital CurrentSince Mar 1, 2017 Accepting new patients
Brown Dermatology, Inc. Dermatology CurrentSince Jan 1, 2017 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital Past Accepting new patients
Lifespan Physician Group, Inc. PastSince May 26, 2026 Accepting new patients
Lifespan Physician Group Inc Dermatology PastSince May 26, 2026 Accepting new patients
Rhode Island Dermatology & Cosmetic Center LLC PastSince Jun 1, 2004 Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

15 La Salle Sq
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

164 Summit Ave
Ste 2D
Providence, RI 02906

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

593 Eddy St
Providence, RI 02903

593 Eddy St
#10
Providence, RI 02903
Phone (401) 444-7024

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

375 Wampanoag Trl
Ste 401
Riverside, RI 02915
Phone (401) 632-4455

65 Village Square Dr
Ste 201
South Kingstown, RI 02879
Phone (401) 444-7024

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

400 Bald Hill Rd
Fl 2
Warwick, RI 02886
Phone (401) 738-4323

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: gtelang@direct.carene.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1063466621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 POINT ST STE 260",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034771",
            "telephone_number": "401-443-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Bald Hill Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELANG",
        "first_name": "GLADYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD10812",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "RI",
            "license": "MD10812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063466621",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.