Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC
NPI 1821652736
Otolaryngology in Oak Lawn, IL

Active since April 25, 2019
4400 W 95TH ST STE 113, OAK LAWN, IL 60453(773) 245-5253(773) 295-1026 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Apr 25, 2019 (2 updates tracked since 2019).

About Oral And Maxilloficial Head And Neck Associates Llc NPPES

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

ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC (NPI 1821652736), doing business as Omhna, is a healthcare organization registered as an otolaryngology in Oak Lawn, Illinois and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Chicago and lists Mohammed K Qaisi, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1821652736
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC
Location Address4400 W 95TH ST STE 113Oak Lawn, IL 60453-2655
Mailing AddressPo Box 734471Chicago, IL 60673-4471 · (773) 245-5253 · Fax (773) 295-1026
Fax(773) 295-1026
Organization SubpartNo
Authorized OfficialMohammed K QaisiManaging Partner · (318) 547-2825
Enumeration DateApril 25, 2019
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1821652736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
4400 W 95TH ST STE 113, Oak Lawn, IL 60453

Other Names 2

Doing Business AsOmhna
Doing Business AsOral Cancer Institute

Secondary Practice Location 1

Location 13000 N Halsted StChicago, IL 60657-5188 · Phone (773) 245-5253 · Fax (773) 295-1026

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Maxilloficial Head And Neck Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Oral And Maxilloficial Head And Neck Associates LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Oral Surgery
NPI 1538592654
3116 OAK PARK AVE
Berwyn, IL 60402
(708) 484-9011
✔ PECOS✔ Accepts Medicare8.5 mi
Maxillofacial Surgery
NPI 1669746418
1900 W POLK ST STE 612
Chicago, IL 60612
(312) 864-3202
✔ PECOS✔ Accepts Medicare11 mi
Oral Surgery
NPI 1508144585
1969 W OGDEN AVE
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts Medicare11 mi
Oral Surgery
NPI 1679783088
1969 W OGDEN AVE # CLINICD
Chicago, IL 60612
(128) 645-1633
✔ PECOS✔ Accepts Medicare11 mi
Oral Surgery
NPI 1679966972
1969 W OGDEN AVE
Chicago, IL 60612
(312) 864-0200
✔ PECOS✔ Accepts Medicare14 mi
Otolaryngology
NPI 1922008333
3000 N HALSTED ST STE 721
Chicago, IL 60657
(630) 701-3840
✔ PECOS✔ Accepts Medicare16 mi
Dentist
NPI 1972730695
6171 N FEDERAL HWY
Fort Lauderdale, FL 33308
(954) 641-5610
✔ PECOS1,154 mi

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 Oral And Maxilloficial Head And Neck Associates LLC's NPI number?

The NPI number for Oral And Maxilloficial Head And Neck Associates LLC is 1821652736. It was assigned to this organization in the NPPES registry on April 25, 2019. The provider is doing business as Omhna and Oral Cancer Institute.

Where is Oral And Maxilloficial Head And Neck Associates LLC located?

Oral And Maxilloficial Head And Neck Associates LLC is located at 4400 W 95th St Ste 113, Oak Lawn, IL 60453. The listed phone number is (773) 245-5253.

What is Oral And Maxilloficial Head And Neck Associates LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Oral And Maxilloficial Head And Neck Associates LLC enrolled in Medicare?

Yes. Oral And Maxilloficial Head And Neck Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral And Maxilloficial Head And Neck Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Oral And Maxilloficial Head And Neck Associates 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. The largest specialties are Oral Surgery (4), Dentist (1) and Maxillofacial Surgery (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral And Maxilloficial Head And Neck Associates LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.