THE SURGERY CENTER OF CENTRALIA
NPI 1265495824
Clinic/Center in Centralia, IL
About The Surgery Center Of Centralia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE SURGERY CENTER OF CENTRALIA (NPI 1265495824) is a healthcare organization registered as a clinic/center in Centralia, Illinois and active in the NPI registry since April 2006. The organization lists Udaya Liyanage, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Surgery Center Of Centralia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to The Surgery Center Of Centralia, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (10)
Mount Vernon, IL 62864
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ambulatory Surgery Center Of Centralia, LLC's NPI number?
The NPI number for Ambulatory Surgery Center Of Centralia, LLC is 1265495824. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as The Surgery Center Of Centralia. The provider is also known as Surgery Center of Centralia Anesthesia.
Where is Ambulatory Surgery Center Of Centralia, LLC located?
Ambulatory Surgery Center Of Centralia, LLC is located at 1045 Martin Luther King Dr, Centralia, IL 62801. The listed phone number is (618) 532-3110.
What is Ambulatory Surgery Center Of Centralia, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ambulatory Surgery Center Of Centralia, LLC enrolled in Medicare?
Yes. Ambulatory Surgery Center Of Centralia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ambulatory Surgery Center Of Centralia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Ambulatory Surgery Center Of Centralia, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ambulatory Surgery Center Of Centralia, LLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# The Surgery Center Of Centralia · NPI 1265495824
Clinic/Center organization in Centralia, Illinois. Organization record, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1265495824 (Entity type: Organization)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Ambulatory Surgery Center Of Centralia, Llc
- **Also known as:** Surgery Center of Centralia Anesthesia (Other Name)
- **Organization subpart:** No
- **Authorized official:** Udaya Liyanage, PRESIDENT
## Practice location
- **Address:** 1045 MARTIN LUTHER KING DR, Centralia, IL 62801-3001
- **Phone:** (618) 532-3110 · **Fax:** (618) 532-3110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Other 06130323; Medicaid 036065384 (IL); Other CH8278
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Source: [NPI Profile](https://npiprofile.com/npi/1265495824) · Data from the CMS NPPES public registry.