Individual provider Active NPI

Susan Omwanghe Edionwe, M.D.

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1598997256
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q4943 Issued in TX
Practice address
7707 Fannin St
Suite 195
Houston, TX 77054-1926
Phone
(713) 797-0045
Fax
(713) 797-1821
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036179125 IL
Otolaryngology Physician 207Y00000X Q4943 TX Primary

Addresses

Primary practice location

7707 Fannin St
Suite 195
Houston, TX 77054-1926

Mailing address

7616 Branford PL Ste 350
Sugar Land, TX 77479-3794
Phone (281) 843-4364

Other practice location 1

8600 Il Route 91 Ste 300
Peoria, IL 61615-7832
Phone (309) 691-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150812007144 TX Practitioner - Otolaryngology 3274848833 Reassigns benefits to 2 organizations
I20260407001483 IL Practitioner - Otolaryngology 3274848833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7616 Branford PL
Suite 350
Sugar Land, TX 77479-3794
Phone (281) 843-4364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036179125ILMDOtolaryngology Physician
Q4943TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ribbon ENT, Allergy & Sinus Center PLLC Otolaryngology CurrentSince Dec 25, 2024 Accepting new patients
Almsjee Medical Otolaryngology Current Accepting new patients
Dallam-Hartley Counties Hospital District Otolaryngology Past Accepting new patients

Locations

7616 Branford Pl
Ste 350
Sugar Land, TX 77479
Phone (281) 843-4364

Interoperability endpoints

  • Direct secure messaging: drsusan@blueribbonent.ssdirect.aprima.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1598997256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 BRANFORD PL STE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793794",
            "telephone_number": "281-843-4364",
            "fax_number": "713-797-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "713-797-0045",
            "fax_number": "713-797-1821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 IL ROUTE 91 STE 300",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616157832",
            "country_code": "US",
            "telephone_number": "309-691-6616",
            "fax_number": "309-282-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDIONWE",
        "first_name": "SUSAN",
        "middle_name": "OMWANGHE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036179125",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q4943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.