DR. EVAN LEIBU M.D.
NPI 1770809097
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 12, 2010Opted out of Medicare · through Apr 18, 2027
136 MADISON AVE FL 6, NEW YORK, NY 10016(212) 401-1970(917) 809-6717 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2020, May 12, 2020, Jan 10, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Evan Leibu M.d. NPPES

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

DR. EVAN LEIBU M.D. (NPI 1770809097) is an individual psychiatry provider in New York, New York, licensed in New York (262635) and active in the NPI registry since April 2010. He has opted out of Medicare through April 18, 2027 and is a graduate of State University Of New York At Buffalo School Of Medicine (2010).

NPPES Registry Identity

NPI1770809097
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EVAN LEIBUCredential: M.D.
Location Address136 MADISON AVE FL 6New York, NY 10016-6795
Mailing Address136 Madison Ave Fl 6New York, NY 10016-6795 · (212) 401-1970 · Fax (917) 809-6717
Fax(917) 809-6717
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2010
Enumeration DateApril 12, 2010
Last NPPES UpdateOctober 1, 20254 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1770809097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 262635
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.
136 MADISON AVE FL 6, New York, NY 10016

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. Evan Leibu 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 April 18, 2021 through April 18, 2027.

Opt-Out Effective DateApril 18, 2021
Opt-Out In Effect ThroughApril 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
136 MADISON AVE FL 6
NEW YORK, NY 10016
Dietitian, Registered
136 MADISON AVE FL 6
NEW YORK, NY 10016
Social Worker (Clinical)
136 MADISON AVE FL 6
NEW YORK, NY 10016
Psychiatry & Neurology (Psychiatry)
136 MADISON AVE FL 6
NEW YORK, NY 10016
Counselor (Mental Health)
136 MADISON AVE FL 6
NEW YORK, NY 10016
Dietitian, Registered
136 MADISON AVE FL 6
NEW YORK, NY 10016
Counselor (Mental Health)
136 MADISON AVE FL 6
NEW YORK, NY 10016
Counselor (Mental Health)
136 MADISON AVE FL 6
NEW YORK, NY 10016

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 Evan Leibu's NPI number?

The NPI number for Evan Leibu is 1770809097. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Evan Leibu located?

Evan Leibu practices at 136 Madison Ave Fl 6, New York, NY 10016. The listed phone number is (212) 401-1970.

What is Evan Leibu's specialty?

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

Is Evan Leibu enrolled in Medicare?

No. Evan Leibu has opted out of Medicare through April 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Evan Leibu was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.