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NPISignal

Individual Healthcare Provider

Mrudula Penta, MD

NPI Record: ActiveRadiology — Diagnostic Radiology
NPI1568670917
St Charles, Missouri

Provider's NPPES record last updated: October 1, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1568670917
Primary Specialty
Radiology — Diagnostic Radiology
Practice Location
St Charles, Missouri
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:07 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    Primary

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

    Taxonomy code 2085R0202X
  • Radiology

    Neuroradiology

    Allopathic & Osteopathic Physicians

    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

    Taxonomy code 2085N0700X

Provider-Reported License Information

Radiology (Missouri)
2025021480
Radiology (California)
A130188
Radiology (California)
A130188
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

300 First Capital Drive

St Charles, Missouri 63301

Phone: (636) 947-5444

Additional Practice Location

100 S San Mateo Dr

San Mateo, California 94401-3805

Phone: (650) 696-4515

Fax: (650) 696-4637

Additional Practice Location

222 W 39th Ave

San Mateo, California 94403-4364

Phone: (650) 573-2681

Fax: (650) 573-2122

Record Information

Enumeration Date
May 18, 2007
Provider's NPPES Record Last Updated
October 1, 2025
Certification Date
October 1, 2025
NPISignal NPPES Dataset
August 2026

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