Individual provider

Jeri Penkava, MD

Developmental - Behavioral Pediatrics Physician Pediatrics Physician Integrative Medicine Physician Medicare enrolled

Jeri Penkava, MD is a Developmental - Behavioral Pediatrics Physician in San Antonio, TX, registered under NPI 1134285430. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4940 BROADWAY STE 100, San Antonio, TX 78209. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4940 BROADWAY STE 100, San Antonio, TX 78209 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G4242 TX Developmental - Behavioral Pediatrics… primary
G4242 TX Pediatrics Physician
G4242 TX Integrative Medicine Physician

This provider holds licence G4242 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
9739303199

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Developmental - Behavioral Pediatrics covers

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 advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NUCC Health Care Provider Taxonomy, code 2080P0006X
Allopathic & Osteopathic Physicians Pediatrics Developmental - Behavioral Pediatrics

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0006X Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics G4242 TX primary
208000000X Pediatrics Physician G4242 TX
202D00000X Integrative Medicine Physician G4242 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1134285430 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 29, 2006
Last updatedApr 9, 2026
StatusActive
Sole proprietorYes
CredentialMD
Practice address 4940 BROADWAY STE 100
San Antonio, TX 78209
(210) 403-2343
Fax (210) 403-2350
Other identifiers 121517009 (TX)
347259 · PTAN (TX)
This record was updated on Apr 9, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1134285430 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 3 4 2 8 5 4 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 6 4 4 8 1 4 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1134285430?
NPI 1134285430 is the National Provider Identifier assigned to Jeri Penkava, MD in San Antonio, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Developmental - Behavioral Pediatrics cover?
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 advocacy efforts. This physician assists in the prevention, diagnosis, and…
How do I contact Jeri Penkava, MD?
The phone number on file with NPPES is (210) 403-2343, last updated Apr 9, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jeri Penkava, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1134285430 a valid number?
Yes. 1134285430 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.