Active NPI
Kathryn Young Noonan, M.D.
- Otolaryngology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 277986
- Practice address
- 800 Washington St
Boston, MA 02111 - Phone
- (617) 636-5000
- NPI assigned
- Apr 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 277986 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111
Mailing address
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Other practice location 1
1 Medical Center Dr
DHMC Department of Otolaryngology
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other practice location 2
1 Medical Center Dr
DHMC Department of Otolaryngology
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other practice location 3
299 Faunce Corner Rd
North Dartmouth, MA 02747-6244
Phone (508) 995-0700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | knoonan47362@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Albany Medical College of Union University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 MLK Jr Blvd
Suite 4
Worcester, MA 01608-1209
Phone (508) 757-0330
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-8137
Hospital & facility affiliations
- Tufts Medical Center
- St Vincent Hospital
- Umass Memorial Health - Harrington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277986 | MA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Associates in Otolaryngology Head and Neck Surgery PC | Otolaryngology | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Pratt Otolaryngology- Head & Neck Surgery Associates Inc | Otolaryngology | Current | Accepting new patients |
Locations
14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
800 Washington St
#1
Boston, MA 02111
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
299 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 995-0700
100 Mlk Jr Blvd
Ste 4
Worcester, MA 01608
Phone (508) 757-0330
48 Elm St
Worcester, MA 01609
Phone (508) 757-0330
100 Mlk Jr Blvd
Worcester, MA 01608
Phone (508) 754-3823
Interoperability endpoints
- knoonan29464@tuftsmedicine.direct-ci.com
- knoonan47362@direct.southcoast.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Worcester, MA
- NPI 1225152663
-
- Otolaryngology Physician
- Boston, MA
- NPI 1669411229
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1265799100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_2": "DHMC Department of Otolaryngology",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_2": "DHMC Department of Otolaryngology",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "299 Faunce Corner Rd",
"address_purpose": "LOCATION",
"city": "North Dartmouth",
"state": "MA",
"postal_code": "027476244",
"country_code": "US",
"telephone_number": "508-995-0700",
"fax_number": "508-973-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOONAN",
"first_name": "KATHRYN",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-17",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "277986",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "knoonan47362@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "299 Faunce Corner Rd",
"city": "North Dartmouth",
"state": "MA",
"country_code": "US",
"postal_code": "027476244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.