Udaya K Liyanage, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036115674 Issued in IL

Practice address

4200 Williamson PL Ste 1a
Mount Vernon, IL 62864-6705

Phone

(618) 899-9200

Fax

(618) 899-9206

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Surgical Oncology, Vascular Surgery

Education

Harvard Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Surgical Technology, LLCGroup PAC ID 3274857685, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
• SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034

Merit-based Incentive Payment System (MIPS)

Final score

70.76 of 100Reported as individual

Quality

73.33

Promoting interoperability

0

Improvement activities

40

Cost

80.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: uliyanage126166@direct-ehr-ssmhc.com
• Direct secure messaging: uliyanag@yourcarecommunity.org
• Direct secure messaging: advancedsurgicaltechnology.udayaliyanage@131021.advancedmd-direct.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Advanced Surgical Technology, LLC

  • Rural Health Clinic/Center
  • Hoyleton, IL
  • NPI 1659058659

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Advanced Surgical Technology, LLC

  • Rural Health Clinic/Center
  • Carlyle, IL
  • NPI 1831876838

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ambulatory Surgery Center of Centralia

  • Ambulatory Surgical Clinic/Center
  • Centralia, IL
  • NPI 1508574518
  Medicare reassignment NPD Authorized official
• Advanced Surgical Technology, LLC

  • Surgery Physician
  • Centralia, IL
  • NPI 1497159024
  Medicare reassignment Care Compare group
• Ambulatory Surgery Center of Centralia, LLC

  • Clinic/Center
  • Centralia, IL
  • NPI 1265495824
  NPD Authorized official
• Ambulatory Surgery Center of Centralia, LLC

  • Ambulatory Surgical Clinic/Center
  • Centralia, IL
  • NPI 1811957251
  NPD
• Advanced Surgical Technology, LLC

  • Rural Health Clinic/Center
  • Hoyleton, IL
  • NPI 1659058659
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Regional Healthcare Services Illinois Inc

  • General Acute Care Hospital
  • Marion, IL
  • NPI 1750007266
  Care Compare affiliation
• Good Samaritan Regional Health Center

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• St Mary'S Hospital, Centralia, Illinois

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1972548287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WILLIAMSON PL STE 1A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-899-9200",
            "fax_number": "618-899-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WILLIAMSON PL STE 1A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-899-9200",
            "fax_number": "618-899-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIYANAGE",
        "first_name": "UDAYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036115674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115674",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Elizabeth Lipe, LCSW
• Cathy Diane Lisenby, PA-C
• Jill Burnett Lisk, PT
• Litton Ambulance Service, Inc
• Living Hope Counseling PLLC
• Taylor Lockowitz, PHARMD
• Lormed LLC
• Emmanuel Loutrianakis, MD
• Annie Rae Lowery, NP-C
• Marilyn Joyce Loyd, LMFT

• Surgery Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.