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DR. SUNDEEP JAYAPRABHU M.D.
NPI 1790986115
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Active since May 31, 2007Opted out of Medicare · through Sep 16, 2026
230 S BEMISTON AVE STE 1213, SAINT LOUIS, MO 63105(314) 862-7755(855) 503-2776 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sundeep Jayaprabhu M.d. NPPES

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

DR. SUNDEEP JAYAPRABHU M.D. (NPI 1790986115) is an individual psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2007027060) and active in the NPI registry since May 2007. He has opted out of Medicare through September 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790986115
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SUNDEEP JAYAPRABHUCredential: M.D.
Location Address230 S BEMISTON AVE STE 1213Saint Louis, MO 63105-1907
Mailing Address230 S Bemiston Ave Ste 1213Saint Louis, MO 63105-1907 · (314) 862-7755 · Fax (855) 503-2776
Phone(314) 862-7755
Fax(855) 503-2776
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1790986115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · 2007027060
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychoanalystTaxonomy 102L00000X
230 S BEMISTON AVE STE 1213, Saint Louis, MO 63105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sundeep Jayaprabhu M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2016 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2016
Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63105 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TETTLEBAUM THERAPY LLC
Social Worker (Clinical)
230 S BEMISTON AVE STE 1213
SAINT LOUIS, MO 63105
St. Louis County (501) 444-2674
HAROLD BRASWELL
Social Worker (Clinical)
230 S BEMISTON AVE STE 1213
CLAYTON, MO 63105
St. Louis County (404) 747-8200
DAVORKA MAROVIC-JOHNSON LPC
Counselor (Professional)
230 S BEMISTON AVE STE 1213
SAINT LOUIS, MO 63105
St. Louis County (314) 406-7281

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 Sundeep Jayaprabhu's NPI number?

The NPI number for Sundeep Jayaprabhu is 1790986115. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Sundeep Jayaprabhu located?

Sundeep Jayaprabhu practices at 230 S Bemiston Ave Ste 1213, Saint Louis, MO 63105. The listed phone number is (314) 862-7755.

What is Sundeep Jayaprabhu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sundeep Jayaprabhu enrolled in Medicare?

No. Sundeep Jayaprabhu has opted out of Medicare through September 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sundeep Jayaprabhu was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.