P Praxis·MD
● Active Type 1 · Individual

DR. Jeri L Penkava, MD

Pediatrics·San Antonio, TX· NPI 1134285430 · Enumerated 2006 · 19 years on NPI
Penkava is 1 of 17 pediatrics providers in San Antonio and 1 of 112 in Texas.
NPI age
19 years
Enumerated 2006-12-29
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 112 active pediatrics providers in Texas.

NPI age
19 years
↑ 2 yr above median (16 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
2
In the 49% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
4940 Broadway Ste 100
San Antonio, TX 782095732
📞 2104032343fax 2104032350
Mailing address
4940 Broadway Ste 100
San Antonio, TX 782095732
📞 2104032343fax 2104032350

Specialties

  • Pediatrics Primary
    A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and...
    TX license #G4242 taxonomy 2080P0006X
  • Integrative Medicine
    A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body,...
    TX license #G4242 taxonomy 202D00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #G4242 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (TX) 121517009
01 (TX) 347259 PTAN

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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