Ambulatory Surgery Center of Centralia, LLC
NPI 1265495824 · Clinic/Center · Centralia, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ambulatory Surgery Center of Centralia, LLC is a Clinic/Center organization in Centralia, IL (NPI 1265495824).
Provider details
- NPI number
- 1265495824
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Udaya Liyanage, President(618) 899-9200
- License
- 036065384 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Surgery Center of Centralia Anesthesia
- Doing business as
- The Surgery Center of Centralia
- Doing business as
- The Surgery Center of Centralia
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2024-02-05
Frequently asked questions
- What is Ambulatory Surgery Center of Centralia, LLC's NPI number?
- Ambulatory Surgery Center of Centralia, LLC's National Provider Identifier (NPI) is 1265495824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ambulatory Surgery Center of Centralia, LLC?
- Ambulatory Surgery Center of Centralia, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ambulatory Surgery Center of Centralia, LLC located?
- Ambulatory Surgery Center of Centralia, LLC's practice location on file with NPPES is 1045 Martin Luther King Dr, Centralia, IL 62801-3001.
- What is Ambulatory Surgery Center of Centralia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ambulatory Surgery Center of Centralia, LLC is (618) 532-3110.
- Does Ambulatory Surgery Center of Centralia, LLC accept Medicare?
- Ambulatory Surgery Center of Centralia, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ambulatory Surgery Center of Centralia, LLC?
- The authorized official listed on Ambulatory Surgery Center of Centralia, LLC's NPPES record is Udaya Liyanage, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ambulatory Surgery Center of Centralia, LLC's NPI active?
- Yes — Ambulatory Surgery Center of Centralia, LLC's NPI (1265495824) is active in the NPPES registry as of the last update on 2024-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.