Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Udaya K Liyanage, MD

Individual provider Surgery Physician · NPI 1972548287

Dr. Udaya K Liyanage, MD is a General Surgery in Mount Vernon, Illinois. Graduated from Harvard Medical School in 1999, 27 years ago. Practices with Advanced Surgical Technology, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Trained at
Harvard Medical School
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4200 Williamson Pl Ste 1A
Mount Vernon, IL 62864-6705
Phone: (618) 899-9200
Fax: (618) 899-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036115674 (IL)

Record details

NPI number1972548287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 17, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesSURGICAL ONCOLOGY, VASCULAR SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Advanced Surgical Technology, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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