Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohammed K Qaisi, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1679783088

Mohammed K Qaisi, DMD, MD is an Oral Surgery in Chicago, Illinois. Graduated from Louisiana State University School of Medicine in New Orleans in 2008, 18 years ago. Practices with Oral and Maxilloficial Head and Neck Associates LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1969 W Ogden Ave # Clinicd
Chicago, IL 60612-3765
Phone: (128) 645-1633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 815-1181

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 036.139464 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 019.030516 (IL)

Record details

NPI number1679783088
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2008 (18 years in practice)
Group practice Oral And Maxilloficial Head And Neck Associates Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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