Mohammad Hussam Alkillesly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11853 Issued in MN

Practice address

6601 Lyndale Ave S
Ste 230
Richfield, MN 55423

Phone

(612) 861-9123

Fax

(612) 861-9155

NPI assigned

Apr 24, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Metro Dentalcare, PLC

  • Dentist
  • Lakeville, MN
  • NPI 1316913411
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811953300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23029",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-861-9123",
            "fax_number": "612-861-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "address_2": "STE 230",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-861-9123",
            "fax_number": "612-861-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKILLESLY",
        "first_name": "MOHAMMAD",
        "middle_name": "HUSSAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifrah Ali
• Mahamed Ali
• Miski F Ali
• Fatu C Alier
• William Alimo
• Shanna Lee Allen, AUD
• Alliance Taxi Service (Alliance Taxi Services, LLC)
• Allina Health System (Allina Health Richfield Clinic)
• Ally Medical Supply (Diabetic Shoes Inc.)
• Brittany Marie Alvarez

• Dentist in Richfield, MN
• Providers in Richfield, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.