Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeri L Penkava, MD

Individual provider Pediatrics Physician · NPI 1134285430

Dr. Jeri L Penkava, MD is a Pediatric Medicine in San Antonio, Texas. Graduated from Louisiana State University School of Medicine in New Orleans in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
49
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4940 Broadway Ste 100
San Antonio, TX 78209-5732
Phone: (210) 403-2343
Fax: (210) 403-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence G4242 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence G4242 (TX)
Integrative Medicine Physician Taxonomy 202D00000X · Licence G4242 (TX)

Record details

NPI number1134285430
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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