DR. MICHAEL ROUSHDY KHALIL M.D., F.A.C.S.
NPI 1124080015
Surgery in Tomah, WI

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
505 GOPHER DR, TOMAH, WI 54660(608) 372-2181 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2024, Oct 30, 2023, Oct 13, 2023 and 4 more (7 updates tracked since 2016).

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

NPI1124080015
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL ROUSHDY KHALILCredential: M.D., F.A.C.S.
Location Address505 GOPHER DRTomah, WI 54660-4513
Mailing Address1216 Via CoronelPalos Verdes Estates, CA 90274-1992 · (585) 748-2080
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1996
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 19, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1124080015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WI · 77985 Licensed in CA · A67078 Licensed in OR · MD178526 Licensed in TN · 69129 Licensed in ND · 14069
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

505 GOPHER DR, Tomah, WI 54660

Secondary Practice Locations 6

Location 18705 Complex DrSan Diego, CA 92123-1401 · Phone (585) 748-2080
Location 2930 SW Abbey St Ste BNewport, OR 97365-4820 · Phone (541) 574-7235
Location 34240 Bethel Rd Ste 200Olive Branch, MS 38654-8737 · Phone (901) 758-7970 · Fax (901) 266-6425
Location 41325 Eastmoreland Ave Ste 310Memphis, TN 38104-7544 · Phone (901) 758-7970 · Fax (901) 266-6425
Location 51775 Thompson RdCoos Bay, OR 97420-2125 · Phone (541) 269-8111
Location 6705 Elm St SW Ste 300Albany, OR 97321-1958 · Phone (541) 812-4580

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4688695638
PECOS Enrollment IDI20160916001468, I20180307001467
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
505 GOPHER DR
TOMAH, WI 54660
Family Medicine
505 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Family)
505 GOPHER DR
TOMAH, WI 54660
Clinic/Center
505 GOPHER DR
TOMAH, WI 54660
Clinic/Center (Mental Health (Including Community Mental Health Center))
505 GOPHER DR
TOMAH, WI 54660
Optometrist
505 GOPHER DR
TOMAH, WI 54660
Physician Assistant (Surgical)
505 GOPHER DR
TOMAH, WI 54660
Physician Assistant (Medical)
505 GOPHER DR
TOMAH, WI 54660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124080015, enumerated as an "individual" on April 05, 2006.

The provider is located at 505 GOPHER DR TOMAH, WI 54660 and the phone number is (608) 372-2181.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Aspirus Health Plan, HealthPartners, McLaren. Please consult your insurance carrier or call the provider to verify.

Michael Khalil is affiliated with: UPHS MARQUETTE DLP HOSPITAL and BAY AREA HOSPITAL.