MRUDULA PENTA MD
NPI 1568670917
Radiology - Diagnostic Radiology in St Charles, MO

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 FIRST CAPITAL DRIVE, ST CHARLES, MO 63301(636) 947-5444(636) 947-5259 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrudula Penta Md NPPES

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

MRUDULA PENTA MD (NPI 1568670917) is an individual diagnostic radiology provider in St Charles, Missouri, licensed in Missouri (2025021480) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568670917
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMRUDULA PENTACredential: MD
Location Address300 FIRST CAPITAL DRIVESt Charles, MO 63301
Mailing Address220 Compass Point DriveSt Charles, MO 63301 · (636) 947-4480 · Fax (636) 947-9860
Fax(636) 947-5259
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2006
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1568670917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MO · 2025021480 Licensed in CA · A130188
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A130188 (CA)
300 FIRST CAPITAL DRIVE, St Charles, MO 63301

Secondary Practice Locations 2

Location 1100 S San Mateo DrSan Mateo, CA 94401-3805 · Phone (650) 696-4515 · Fax (650) 696-4637
Location 2222 W 39th AveSan Mateo, CA 94403-4364 · Phone (650) 573-2681 · Fax (650) 573-2122

Other Identifiers 1

Medicaid200161282MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrudula Penta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668770710
PECOS Enrollment IDI20250729004705
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.

Areas of Expertise CMS Part B claims 51

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
333 services317 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
282 services264 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
140 services138 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
129 services126 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
106 services105 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
102 services100 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mrudula Penta's NPI number?

The NPI number for Mrudula Penta is 1568670917. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Mrudula Penta located?

Mrudula Penta practices at 300 First Capital Drive, St Charles, MO 63301. The listed phone number is (636) 947-5444.

What is Mrudula Penta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mrudula Penta enrolled in Medicare?

Yes. Mrudula Penta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mrudula Penta affiliated with any hospitals?

According to CMS data, Mrudula Penta is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis, Ssm Health Saint Louis University Hospital, Barnes-Jewish St Peters Hospital and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Mrudula Penta was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.