Holistic Developmental Peds & Integrative Med, PLLC
NPI 1033925789 · Integrative Medicine Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holistic Developmental Peds & Integrative Med, PLLC is a Integrative Medicine Physician organization in San Antonio, TX (NPI 1033925789).
Provider details
- NPI number
- 1033925789
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeri Penkava, Sole Owner(210) 403-2343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-07
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Holistic Developmental Peds & Integrative Med, PLLC's NPI number?
- Holistic Developmental Peds & Integrative Med, PLLC's National Provider Identifier (NPI) is 1033925789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holistic Developmental Peds & Integrative Med, PLLC?
- Holistic Developmental Peds & Integrative Med, PLLC is classified in the NPPES registry as Integrative Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Holistic Developmental Peds & Integrative Med, PLLC located?
- Holistic Developmental Peds & Integrative Med, PLLC's practice location on file with NPPES is 4940 Broadway Ste 100, San Antonio, TX 78209-5732.
- What is Holistic Developmental Peds & Integrative Med, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Holistic Developmental Peds & Integrative Med, PLLC is (210) 403-2343.
- Does Holistic Developmental Peds & Integrative Med, PLLC accept Medicare?
- Holistic Developmental Peds & Integrative Med, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holistic Developmental Peds & Integrative Med, PLLC?
- The authorized official listed on Holistic Developmental Peds & Integrative Med, PLLC's NPPES record is Jeri Penkava, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holistic Developmental Peds & Integrative Med, PLLC's NPI active?
- Yes — Holistic Developmental Peds & Integrative Med, PLLC's NPI (1033925789) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.