Organization Active NPI

Blue Ribbon ENT, Allergy & Sinus Center PLLC

Doing business as Blue Ribbon ENT, Allergy & Sinus Center

  • Otolaryngology Physician
  • Sugar Land, TX
National Provider Identifier
1639905763
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BLUE RIBBON ENT, ALLERGY & SINUS CENTER PLLC
Doing business as
Blue Ribbon ENT, Allergy & Sinus Center
Practice address
7616 Branford PL Ste 350
Sugar Land, TX 77479-3794
Phone
(281) 843-4364
Fax
(281) 720-8743
NPI assigned
Sep 13, 2024
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Dr. Susan Omwanghe Edionwe, MDNPI 1598997256
Title
Founder
Phone
(281) 843-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

7616 Branford PL Ste 350
Sugar Land, TX 77479-3794

Mailing address

7616 Branford PL Ste 350
Sugar Land, TX 77479-3794
Phone (956) 655-7015

Other identifiers 1

IdentifierTypeStateIssuer
1598997256OtherTX1598997256

Other names 1

  • Blue Ribbon ENT, Allergy & Sinus Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250129002075 TX Part B Supplier - Clinic/Group Practice 1254860679 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1639905763",
    "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": "956-655-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "281-720-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIBBON ENT, ALLERGY & SINUS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "EDIONWE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "OMWANGHE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "281-843-4364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1598997256",
            "identifier": "1598997256",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ribbon ENT, Allergy & Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ribbon ENT, Allergy & Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.