SUSAN OMWANGHE EDIONWE M.D.
NPI 1598997256
Otolaryngology in Houston, TX

Active since August 13, 2009PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
7707 FANNIN ST, SUITE 195, HOUSTON, TX 77054(713) 797-0045(713) 797-1821 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Dec 19, 2024, Nov 1, 2016 (3 updates tracked since 2016).

About Susan Omwanghe Edionwe M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN OMWANGHE EDIONWE M.D. (NPI 1598997256) is an individual otolaryngology provider in Houston, Texas, licensed in Texas (Q4943) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of University Of Texas Medical Branch At Galveston (2009).

NPPES Registry Identity

NPI1598997256
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameSUSAN OMWANGHE EDIONWECredential: M.D.
Location Address7707 FANNIN ST, SUITE 195Houston, TX 77054-1926
Mailing Address7616 Branford Pl Ste 350Sugar Land, TX 77479-3794 · (281) 843-4364 · Fax (713) 797-1821
Fax(713) 797-1821
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2009
Enumeration DateAugust 13, 2009
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1598997256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TX · Q4943✔ Licensed in IL · 036179125
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7707 FANNIN ST, Houston, TX 77054

Secondary Practice Location 1

Location 18600 IL ROUTE 91 STE 300Peoria, IL 61615-7832 · Phone (309) 691-6616 · Fax (309) 282-3848

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Omwanghe Edionwe M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274848833
PECOS Enrollment IDI20150812007144, I20260407001483
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Susan Edionwe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
7616 BRANFORD PL STE 350
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
Rural Health
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
200 services129 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
41 services27 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
41 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
7707 FANNIN ST, SUITE 205
HOUSTON, TX 77054
Physician Assistant
7707 FANNIN ST, SUITE 100
HOUSTON, TX 77054
Internal Medicine (Clinical Cardiac Electrophysiology)
7707 FANNIN ST, SUITE 255A
HOUSTON, TX 77054
Podiatrist (Foot & Ankle Surgery)
7707 FANNIN ST, SUITE 250
HOUSTON, TX 77054
Podiatrist (Foot & Ankle Surgery)
7707 FANNIN ST, SUITE 250
HOUSTON, TX 77054
Psychiatry & Neurology (Psychiatry)
7707 FANNIN ST, SUITE 205
HOUSTON, TX 77054
Pharmacy (Community/Retail Pharmacy)
7707 FANNIN ST, STE 105
HOUSTON, TX 77054
Internal Medicine
7707 FANNIN ST, SUITE 250
HOUSTON, TX 77054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Edionwe's NPI number?

The NPI number for Susan Edionwe is 1598997256. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Susan Edionwe located?

Susan Edionwe practices at 7707 Fannin St Suite 195, Houston, TX 77054. The listed phone number is (713) 797-0045.

What is Susan Edionwe's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Susan Edionwe enrolled in Medicare?

Yes. Susan Edionwe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Susan Edionwe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Edionwe reassigns Medicare benefits to 4 organizations: Blue Ribbon Ent, Allergy & Sinus Center PLLC (Sugar Land, TX), Gonzales Healthcare Systems (Gonzales, TX), Acclaim Physician Group, Inc (Fort Worth, TX) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Edionwe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Edionwe accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Susan Edionwe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Edionwe was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.