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BOSCO E NORONHA MD,PC
NPI 1184071854
Otolaryngology in Indiana, PA

Active since May 23, 2016
1265 WAYNE AVE, SUITE 100, INDIANA, PA 15701(724) 349-5440(724) 349-7445 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2016, Aug 31, 2016 (2 updates tracked since 2016).

About Bosco E Noronha Md,pc NPPES

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

BOSCO E NORONHA MD,PC (NPI 1184071854) is a healthcare organization registered as an otolaryngology in Indiana, Pennsylvania and active in the NPI registry since May 2016. The organization lists Tracie Whetsel, Employee, as its authorized official.

NPPES Registry Identity

NPI1184071854
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameBOSCO E NORONHA MD,PC
Location Address1265 WAYNE AVE, SUITE 100Indiana, PA 15701-3501
Mailing Address1265 Wayne Ave, Suite 100Indiana, PA 15701-3501 · (724) 349-5440 · Fax (724) 349-7445
Phone(724) 349-5440
Fax(724) 349-7445
Organization SubpartNo
Authorized OfficialTracie WhetselEmployee · (724) 549-5764
Enumeration DateMay 23, 2016
Last NPPES UpdateNovember 4, 20162 updates tracked since enumeration
✔ NPI 1184071854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD072191L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1265 WAYNE AVE, Indiana, PA 15701
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Other Identifiers 1

OtherMD072191LPA · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bosco E Noronha Md,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bosco E Noronha MD,pc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Kelly, AUD
Qualified Audiologist
NPI 1457597619
1265 WAYNE AVE STE 100
Indiana, PA 15701
(724) 349-5440
✔ Accepts Medicare0.2 mi
Bosco Noronha, MD
Otolaryngology
NPI 1790722171
1265 WAYNE AVENUE SUITE 100
Indiana, PA 15701
(724) 349-5440
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bosco E Noronha Md,pc's NPI number?

The NPI number for Bosco E Noronha Md,pc is 1184071854. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Bosco E Noronha Md,pc located?

Bosco E Noronha Md,pc is located at 1265 Wayne Ave Suite 100, Indiana, PA 15701. The listed phone number is (724) 349-5440.

What is Bosco E Noronha Md,pc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Bosco E Noronha Md,pc enrolled in Medicare?

Yes. Bosco E Noronha Md,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bosco E Noronha Md,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bosco E Noronha Md,pc, in Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bosco E Noronha Md,pc was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.