JAYADEV SAJJA MD
NPI 1194416107
Internal Medicine in Lake St Louis, MO

Q: What is Jayadev Sajja's NPI number?

The NPI number for Jayadev Sajja is 1194416107. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Q: What is Jayadev Sajja's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jayadev Sajja was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2023PECOS Enrolled

100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367(636) 625-5297(636) 755-3881 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jayadev Sajja Md NPPES

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

JAYADEV SAJJA MD (NPI 1194416107) is an individual internal medicine provider in Lake St Louis, Missouri, licensed in Missouri (2023018231) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194416107

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAYADEV SAJJACredential: MD

Location Address100 MEDICAL PLZLake St Louis, MO 63367-1366

Mailing Address100 Medical PlzLake St Louis, MO 63367-1366 · (636) 625-5297 · Fax (636) 755-3881

Phone(636) 625-5297

Fax(636) 755-3881

Sole ProprietorNo

Enumeration DateMay 19, 2023

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1194416107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2023018231

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

100 MEDICAL PLZ, Lake St Louis, MO 63367

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayadev Sajja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.