AMBULATORY SURGERY CENTER OF CENTRALIA
NPI 1508574518
Clinic/Center - Ambulatory Surgical in Centralia, IL

Q: What is Ambulatory Surgery Center Of Centralia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 08, 2022

1045 M L KING DR, CENTRALIA, IL 62801(618) 532-3110 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ambulatory Surgery Center Of Centralia NPPES

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

AMBULATORY SURGERY CENTER OF CENTRALIA (NPI 1508574518) is a healthcare organization registered as an ambulatory surgical in Centralia, Illinois and active in the NPI registry since November 2022. The organization lists Udaya Liyanage, President, as its authorized official.

NPPES Registry Identity

NPI1508574518

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameAMBULATORY SURGERY CENTER OF CENTRALIA

Location Address1045 M L KING DRCentralia, IL 62801-3001

Mailing Address1307 E Mccord StCentralia, IL 62801-3610

Phone(618) 532-3110

Organization SubpartNo

Authorized OfficialUdaya LiyanagePresident · (618) 899-9200

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1508574518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1045 M L KING DR, Centralia, IL 62801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambulatory Surgery Center Of Centralia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ambulatory Surgery Center Of Centralia, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Merrilee Brandt, M.D.

General Surgery

NPI 1942243811

1054 MARTIN LUTHER KING DR SUITE 125
Centralia, IL 62801

(618) 436-5200

✔ PECOS✔ Accepts MedicareSame address

Thomas Nolen, D.P.M.

Podiatry

NPI 1083602718

624 W MAIN ST
Salem, IL 62881

(618) 548-0057

✔ PECOS✔ Accepts Medicare12 mi

Udaya Liyanage, MD

General Surgery

NPI 1972548287

4200 WILLIAMSON PL STE 1A
Mount Vernon, IL 62864

(618) 899-9200

✔ PECOS✔ Accepts Medicare18 mi

Michael Schifano, D.O.

Obstetrics/Gynecology

NPI 1679507818

3408 OFFICE PARK DR
Marion, IL 62959

(618) 997-5266

✔ PECOS✔ Accepts Medicare55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

178 services97 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

17 services17 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

14 services14 patients

Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment 37187

This procedure involves the use of fluoroscopy, a type of medical imaging, to locate and dissolve a blood clot in a vein. The initial treatment involves injecting a clot-dissolving medication into the affected vein to break down the clot and restore normal blood flow.

13 services13 patients

Insertion of abdominal cavity tube using an endoscope 49324

This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.

13 services13 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

11 services11 patients

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's NPI number?

The NPI number for Ambulatory Surgery Center Of Centralia is 1508574518. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Ambulatory Surgery Center Of Centralia located?

Ambulatory Surgery Center Of Centralia is located at 1045 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 532-3110.

What is Ambulatory Surgery Center Of Centralia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Ambulatory Surgery Center Of Centralia enrolled in Medicare?

Yes. Ambulatory Surgery Center Of Centralia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ambulatory Surgery Center Of Centralia?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ambulatory Surgery Center Of Centralia, in General Surgery, Obstetrics/Gynecology and Podiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ambulatory Surgery Center Of Centralia accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ambulatory Surgery Center Of Centralia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambulatory Surgery Center Of Centralia was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.