DR. JAMIE SMITH PENK MD
NPI 1942243555
Pediatrics - Pediatric Critical Care Medicine in Austin, TX

Q: What is Jamie Penk's NPI number?

The NPI number for Jamie Penk is 1942243555. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Jamie Penk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Penk was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2006PECOS Enrolled

4900 MUELLER BLVD, AUSTIN, TX 78723(773) 577-3782 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jamie Smith Penk Md NPPES

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

DR. JAMIE SMITH PENK MD (NPI 1942243555) is an individual pediatric critical care medicine provider in Austin, Texas, licensed in Texas (W2346) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2002).

NPPES Registry Identity

NPI1942243555

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JAMIE SMITH PENKCredential: MD

Location Address4900 MUELLER BLVDAustin, TX 78723-3051

Mailing Address4900 Mueller BlvdAustin, TX 78723-3051 · (773) 577-3782

Phone(773) 577-3782

Sole ProprietorYes

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2002

Enumeration DateJune 13, 2006

Last NPPES UpdateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1942243555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TX · W2346

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 238558 (NY), 036.117924 (IL)

4900 MUELLER BLVD, Austin, TX 78723

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jamie Smith Penk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638341829

PECOS Enrollment IDI20260402001376

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER KRENA

Nurse Practitioner (Pediatrics)