Mrudula Penta, MD
NPI 1568670917ActiveIndividual· Radiology, Diagnostic Radiology· St Charles, MO
Radiology, Diagnostic Radiology (MD) in St Charles, Missouri, trained at Stanford University School of Medicine (class of 2006). Medicare paid $109,737 for services to 1,960 patients in 2024.
Overview
| NPI | 1568670917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 2025021480 | MO |
| Radiology, Diagnostic Radiology | 2085R0202X | A130188 | CA |
| Radiology, Neuroradiology | 2085N0700X | A130188 | CA |
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 Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,960 |
|---|---|
| Services billed | 2,670 across 128 procedure codes |
| Paid by Medicare | $109,737 |
Education and affiliations
| Medical school | Stanford University School of Medicine |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Ssm Medical Group IncSaint Charles, MO · 568 clinicians
- Radiologic Imaging Consultants LLPLake Saint Louis, MO · 16 clinicians
Hospital affiliations
- Ssm Health Depaul Hospital St LouisBridgeton, MO
- Ssm Health Saint Louis University HospitalSaint Louis, MO
- Ssm St Joseph Health CenterSaint Charles, MO
- Ssm St Joseph Hospital WestLake Saint Louis, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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