MRUDULA PENTA MD – NPI #1568670917
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
MRUDULA PENTA is a radiologist located in SAINT CHARLES, MO. NPPES has assigned the NPI number 1568670917 to MRUDULA PENTA on May 18, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was last updated on Oct 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MRUDULA PENTA below.
NPI Profile for
MRUDULA PENTA
(more than 19 years ago)
SAINT CHARLES, MO 63301 Phone: (636) 947-5444 Fax: (636) 947-5259
2 Other location(s):
San Mateo, CA 94401-3805
Phone: (650) 696-4515
Fax: (650) 696-4637
San Mateo, CA 94403-4364
Phone: (650) 573-2681
Fax: (650) 573-2122
ST CHARLES, MO 63301 Phone: (636) 947-4480 Fax: (636) 947-9860
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MRUDULA PENTA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | MO | 200161282 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
CA | A130188 |
| 2085N0700X - Radiology / Neuroradiology |
CA | A130188 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MRUDULA PENTA is affiliated with the following medical group(s):
- HOSPITAL
- STANFORD HEALTH CARE300 PASTEUR DRIVE
STANFORD, CA 94305 - STANFORD HEALTH CARE - VALLEYCARE5555 WEST LAS POSITAS BOULEVARD
PLEASANTON, CA 94588
- STANFORD HEALTH CARE300 PASTEUR DRIVE
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