HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC
NPI 1033925789
Integrative Medicine in San Antonio, TX

Q: What is Holistic Developmental Peds & Integrative Med, PLLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Active since December 07, 2024

4940 BROADWAY STE 100, SAN ANTONIO, TX 78209(210) 403-2343(210) 403-2350 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Jul 4, 2025, Jun 26, 2025 and 1 more (4 updates tracked since 2024).

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About Holistic Developmental Peds & Integrative Med, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC (NPI 1033925789) is a healthcare organization registered as an integrative medicine in San Antonio, Texas and active in the NPI registry since December 2024. The organization lists Jeri L Penkava, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1033925789

Entity TypeOrganization

Primary Taxonomy202D00000X

Legal Business NameHOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC

Location Address4940 BROADWAY STE 100San Antonio, TX 78209-5732

Mailing Address4940 Broadway Ste 100San Antonio, TX 78209-5732 · (210) 403-2343 · Fax (210) 403-2350

Phone(210) 403-2343

Fax(210) 403-2350

Organization SubpartNo

Authorized OfficialJeri L PenkavaSole Owner · (210) 403-2343

Enumeration DateDecember 7, 2024

Last NPPES UpdateMay 11, 20264 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1033925789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

Definition

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, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X

Also ListedNurse PractitionerTaxonomy 363L00000X

4940 BROADWAY STE 100, San Antonio, TX 78209

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Other Identifiers 1

Medicaid520125301TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Developmental Peds & Integrative Med, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Holistic Developmental Peds & Integrative Med, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeri Penkava, MD

Pediatric Medicine

NPI 1134285430

4940 BROADWAY STE 100
San Antonio, TX 78209

(210) 403-2343

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Developmental Peds & Integrative Med, PLLC's NPI number?

The NPI number for Holistic Developmental Peds & Integrative Med, PLLC is 1033925789. It was assigned to this organization in the NPPES registry on December 7, 2024.

Where is Holistic Developmental Peds & Integrative Med, PLLC located?

Holistic Developmental Peds & Integrative Med, PLLC is located at 4940 Broadway Ste 100, San Antonio, TX 78209. The listed phone number is (210) 403-2343.

What is Holistic Developmental Peds & Integrative Med, PLLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Is Holistic Developmental Peds & Integrative Med, PLLC enrolled in Medicare?

Yes. Holistic Developmental Peds & Integrative Med, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Developmental Peds & Integrative Med, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Holistic Developmental Peds & Integrative Med, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holistic Developmental Peds & Integrative Med, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Holistic Developmental Peds & Integrative Med, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holistic Developmental Peds & Integrative Med, PLLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.