Individual provider Active NPI

Destini Ariel Goodly Seniors, MD

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1417535816
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
V7642 Issued in TX
Practice address
11914 Astoria Blvd Ste 510
Houston, TX 77089-6050
Phone
(713) 566-5735
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X V7642 TX Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 510
Houston, TX 77089-6050

Mailing address

6431 Fannin St # 3.286
Houston, TX 77030-1501
Phone (713) 566-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250709002051 TX Practitioner - Obstetrics/Gynecology 6800300039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

11452 Space Ctr Blvd
Houston, TX 77059-3599
Phone (832) 775-9800

11476 Space Ctr Blvd
Houston, TX 77059-3599
Phone (713) 486-1120

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

11914 Astoria Blvd
Suite 670
Houston, TX 77089-6081
Phone (713) 486-1120

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2025 Accepting new patients

Locations

6431 Fannin St
Ste 3214
Houston, TX 77030
Phone (713) 500-6397

6410 Fannin St
Ste 600
Houston, TX 77030
Phone (832) 325-7100

11914 Astoria Blvd
Ste 510
Houston, TX 77089
Phone (713) 486-1170

6431 Fannin St
#3286
Houston, TX 77030
Phone (713) 500-7780

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1417535816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST # 3.286",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-566-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896050",
            "telephone_number": "713-566-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIORS",
        "first_name": "DESTINI",
        "middle_name": "ARIEL GOODLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "V7642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.