Individual provider Active NPI

Donna A Goff, MD

  • Pediatric Cardiology Physician
  • Houston, TX
National Provider Identifier
1629204680
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
R9964 Issued in TX
Practice address
6410 Fannin St Ste 500
Houston, TX 77030-3005
Phone
(832) 325-7111
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD428984 PA
Pediatric Cardiology Physician 2080P0202X R9964 TX Primary
Pediatric Cardiology Physician 2080P0202X MD428984 PA
Pediatric Cardiology Physician 2080P0202X A91802 CA

Addresses

Primary practice location

6410 Fannin St Ste 500
Houston, TX 77030-3005

Mailing address

6410 Fannin St Ste 500
Houston, TX 77030-3005
Phone (832) 325-7111

Other identifiers 1

IdentifierTypeStateIssuer
R9964OtherTXTEXAS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20111007000416 CA Practitioner - Pediatric Medicine 3577600675 Reassigns benefits to 1 organization
I20190318000735 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3577600675 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91802CAMDPediatric Cardiology Physician
MD428984PAMDPediatric Cardiology Physician
R9964TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Mar 15, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 15, 2011 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 15, 2011 Accepting new patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Jan 17, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Ut Physicians Pediatrics CurrentSince Mar 15, 2019 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

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

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

7900 Fannin St
Ste 4400
Houston, TX 77054
Phone (713) 512-7900

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: dgoff7215@direct.llu.edu
  • Direct secure messaging: dgoff11672@direct.uth.org

Organizations & group practices 6

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1629204680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303005",
            "telephone_number": "832-325-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303005",
            "telephone_number": "832-325-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "DONNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD428984",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "R9964",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD428984",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A91802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R9964",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.