Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVANNA LEROUGE
NPI 1558945980
Emergency Medicine - Hospice and Palliative Medicine in New York, NY

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 5, 2026, May 11, 2021 (2 updates tracked since 2021).

About Evanna Lerouge NPPES

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

EVANNA LEROUGE (NPI 1558945980) is an individual hospice and palliative medicine provider in New York, New York, licensed in New York (336021) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2021).

NPPES Registry Identity

NPI1558945980
Entity TypeIndividualFemale
Primary Taxonomy207PH0002X
Provider Legal NameEVANNA LEROUGE
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address100 E 77th StNew York, NY 10075-1850
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2021
Enumeration DateMay 11, 2021
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1558945980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PH0002X
License Licensed in NY · 336021
Definition
An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 125.077942 (IL)
100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evanna Lerouge is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961801980
PECOS Enrollment IDI20251031004033
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 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Evanna Lerouge's NPI number?

The NPI number for Evanna Lerouge is 1558945980. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Evanna Lerouge located?

Evanna Lerouge practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Evanna Lerouge's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.

Is Evanna Lerouge enrolled in Medicare?

Yes. Evanna Lerouge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Evanna Lerouge was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.