DR. ELIJAH NORONHA DDS
NPI 1053935155
Dentist - General Practice in Detroit, MI

Active since June 04, 2020PECOS Enrolled
5716 MICHIGAN AVE, DETROIT, MI 48210(313) 554-3880 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Elijah Noronha Dds NPPES

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

DR. ELIJAH NORONHA DDS (NPI 1053935155) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901600519) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053935155
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELIJAH NORONHACredential: DDS
Location Address5716 MICHIGAN AVEDetroit, MI 48210-3039
Mailing Address5716 Michigan AveDetroit, MI 48210-3039 · (313) 554-3880
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1053935155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901600519
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5716 MICHIGAN AVE, Detroit, MI 48210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elijah Noronha Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Dental Hygienist
5716 MICHIGAN AVE
DETROIT, MI 48210
Student in an Organized Health Care Education/Training Program
5716 MICHIGAN AVE
DETROIT, MI 48210
Dentist
5716 MICHIGAN AVE
DETROIT, MI 48210
Social Worker (Clinical)
5716 MICHIGAN AVE
DETROIT, MI 48210
Dentist (General Practice)
5716 MICHIGAN AVE
DETROIT, MI 48210
Community Health Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Social Worker
5716 MICHIGAN AVE
DETROIT, MI 48210

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 Elijah Noronha's NPI number?

The NPI number for Elijah Noronha is 1053935155. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Elijah Noronha located?

Elijah Noronha practices at 5716 Michigan Ave, Detroit, MI 48210. The listed phone number is (313) 554-3880.

What is Elijah Noronha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elijah Noronha enrolled in Medicare?

Yes. Elijah Noronha is registered in the Medicare PECOS enrollment system.

What insurance does Elijah Noronha accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Elijah Noronha 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 Elijah Noronha was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.