Organization Active NPI

Sugar Land ENT and Sleep Center, PA

  • Otolaryngology Physician
  • Sugar Land, TX
National Provider Identifier
1902927270
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L9330 Issued in TX
Legal business name
SUGAR LAND ENT AND SLEEP CENTER, PA
Practice address
6921 Brisbane CT Ste 210
Sugar Land, TX 77479-7094
Phone
(281) 556-1102
Fax
(281) 556-1340
NPI assigned
Apr 3, 2007
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. James J. Ludwick, MDNPI 1093712085
Title
Sole Provider
Phone
(281) 556-1102

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X L9330 TX Primary

Addresses

Primary practice location

6921 Brisbane CT Ste 210
Sugar Land, TX 77479-7094

Mailing address

6921 Brisbane CT Ste 210
Sugar Land, TX 77479-7094
Phone (281) 556-1102

Other identifiers 1

IdentifierTypeStateIssuer
1677759MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000772 TX Part B Supplier - Clinic/Group Practice 9739109547 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

12606 West Houston Center Blvd
Ste 220
Houston, TX 77082
Phone (281) 556-1102

6921 Brisbane Ct
Ste 210
Sugar Land, TX 77479
Phone (281) 556-1102

Practitioners & affiliated clinicians

Practitioners 2

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1902927270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 BRISBANE CT STE 210",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797094",
            "telephone_number": "281-556-1102",
            "fax_number": "281-556-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 BRISBANE CT STE 210",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797094",
            "telephone_number": "281-556-1102",
            "fax_number": "281-556-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND ENT AND SLEEP CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "LUDWICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "281-556-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L9330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2021; 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.