Holistic Developmental Peds & Integrative Med, PLLC
NPI 1033925789ActiveOrganization· Integrative Medicine· San Antonio, TX
Integrative Medicine in San Antonio, Texas, registered in NPPES in December 2024. The authorized official on file is Jeri L. Penkava, MD, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033925789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2024 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Integrative Medicine Primary | 202D00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|