Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jayadev Sajja, MD

Individual provider Internal Medicine Physician · NPI 1194416107

Jayadev Sajja, MD is an Internal Medicine in Lake St Louis, Missouri. Qualified in 2017, 9 years ago. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Medical Plz
Lake St Louis, MO 63367-1366
Phone: (636) 625-5297
Fax: (636) 755-3881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2023018231 (MO)

Record details

NPI number1194416107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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