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

Mrudula Penta, MD

Individual provider Diagnostic Radiology Physician · NPI 1568670917

Mrudula Penta, MD is a Diagnostic Radiology in St. Charles, Missouri. Graduated from Stanford University School of Medicine in 2006, 20 years ago. Practices with Radiologic Imaging Consultants LLP, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
20
Trained at
Stanford University School of Medicine
Licensed in
CA, MO
In the registry since
2007
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

300 First Capital Dr
St. Charles, MO 63301
Phone: (636) 947-5444
Fax: (636) 947-5259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 S San Mateo Dr, San Mateo, CA 94401-3805 — (650) 696-4515
  • 222 W 39th Ave, San Mateo, CA 94403-4364 — (650) 573-2681

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2025021480 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A130188 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A130188 (CA)

Record details

NPI number1568670917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address220 Compass Point Drive, St Charles, MO 63301

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Radiologic Imaging Consultants Llp — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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