Road traffic in crossroads increases noise levels in Tirana. This study demonstrates the inhabitants' perceptions on noise using questionnaires and noise level predictions at building façades using three different speed roads and four ranges of building heights, and applying the Nordic Prediction Method for five crossroad urban areas of Tirana. Nordic Prediction Method was applied to calculate: (1) basic noise for high and low speed roads, (2) noise levels for outside receivers at building façade in crossroad neighbourhoods. A quarter of respondents (out of 36) perceived to get sick due to high noise levels, and at least one respondent in every crossroads perceived their crossroad environments associated with high noise levels. Outside receivers (imaginary receivers or inhabitants) at building façades located at crossroads and close to high speed roads were exposed to high noise levels exceeding the national and the WHO community noise standards of 55 dBA for daytime. Speeds of vehicles and locations of buildings in crossroad neighbourhoods contributed to noise levels at building façades. This study identified high noise level areas that can be further investigated in terms of long-term effects of high noise levels on population health in Tirana.