DR. MICHAEL ROUSHDY KHALIL M.D., F.A.C.S.
NPI 1124080015
Surgery in Tomah, WI
About Dr. Michael Roushdy Khalil M.d., F.a.c.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ROUSHDY KHALIL M.D., F.A.C.S. (NPI 1124080015) is an individual surgery provider in Tomah, Wisconsin, licensed in Wisconsin (77985) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Roushdy Khalil M.d., F.a.c.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Michael Khalil reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Lancaster, WI 53813
- Reassigned Medicare billing, Wisconsin enrollment
- 175 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 440 clinicians in this Medicare group
Laurium, MI 49913
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Aurelia, IA 51005
- Reassigned Medicare billing, Iowa enrollment
- 36 clinicians in this Medicare group
Jamestown, ND 58401
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1548256753 (North Dakota)
- 95 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Mississippi enrollment
- 9 clinicians in this Medicare group
Riverton, WY 82501
- Reassigned Medicare billing, Wyoming enrollment
- 54 clinicians in this Medicare group
Hermiston, OR 97838
- Reassigned Medicare billing, Oregon enrollment
- 344 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MIBay Area Hospital
Acute Care Hospitals · Coos Bay, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Khalil's NPI number?
The NPI number for Michael Khalil is 1124080015. It was assigned to this individual provider in the NPPES registry on April 5, 2006.
Where is Michael Khalil located?
Michael Khalil practices at 505 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 372-2181.
What is Michael Khalil's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Michael Khalil enrolled in Medicare?
Yes. Michael Khalil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Khalil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Khalil reassigns Medicare benefits to 12 organizations: Gundersen Clinic, Ltd. (Tomah, WI), Southwest Health Center, Inc. (Lancaster, WI), Dlp Marquette Physician Practices Inc (Iron River, MI), Aspirus Keweenaw (Laurium, MI), Sioux Valley Memorial Hospital Association (Aurelia, IA) and 7 more organizations, listed in the Medicare section above. Each 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 Michael Khalil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Khalil accept?
Health plans from Aspirus Health Plan, Blue Cross Blue Shield of North Dakota, Cigna Healthcare, Priority Health and Sanford Health Plan and 1 other insurer list Michael Khalil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Michael Khalil affiliated with any hospitals?
According to CMS data, Michael Khalil is affiliated with Uphs Marquette Dlp Hospital and Bay Area Hospital.
When was this NPI record last updated?
The NPPES record for Michael Khalil was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Michael Roushdy Khalil, M.D., F.A.C.S. · NPI 1124080015
Surgery physician in Tomah, Wisconsin. Individual provider, active in the CMS NPPES registry since April 5, 2006.
## Identity
- **NPI:** 1124080015 (Entity type: Individual)
- **Enumerated:** April 5, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 77985 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 GOPHER DR, Tomah, WI 54660-4513
- **Phone:** (608) 372-2181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic, Ltd. (NPI 1497708044, Tomah, WI); Southwest Health Center, Inc. (NPI 1962974485, Lancaster, WI); Dlp Marquette Physician Practices Inc (NPI 1790033207, Iron River, MI); Aspirus Keweenaw (NPI 1154480044, Laurium, MI); Sioux Valley Memorial Hospital Association (NPI 1083610190, Aurelia, IA); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** September 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1124080015) · Data from the CMS NPPES public registry.