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

Evanna Lerouge

Individual provider Emergency Medicine Physician · NPI 1558945980

Evanna Lerouge is an Emergency Medicine in New York, New York. Graduated from State University of New York Downstate Medical Center in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
5
Trained at
State University of New York Downstate Medical Center
Licensed in
IL, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

100 E 77th St
New York, NY 10075-1850
Phone: (212) 434-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PH0002X · Licence 336021 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.077942 (IL)

Record details

NPI number1558945980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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