Michael Roushdy Khalil, M.D., F.A.C.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

77985 Issued in WI

Practice address

505 Gopher Dr
Tomah, WI 54660-4513

Phone

(608) 372-2181

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561

  OR

  Medicare reassignment Care Compare group NPD
• DLP Marquette Physician Practices Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995

  MI, Surgery

  Medicare reassignment Care Compare group NPD
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115

  WI

  Medicare reassignment NPD
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793

  WI

  Medicare reassignment NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  MI, Surgery

  Medicare reassignment NPD
• Aspirus Keweenaw

  • Medicare Defined Swing Bed Hospital Unit
  • Laurium, MI
  • NPI 1154480044

  MI

  Medicare reassignment NPD
• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667

  OR

  Medicare reassignment NPD
• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753

  ND

  Medicare reassignment NPD
• Lutheran Charity Association

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652

  ND

  Medicare reassignment NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614

  WY

  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc

  • Critical Access Hospital
  • Newport, OR
  • NPI 1801847066

  OR

  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newport, OR
  • NPI 1174888010

  OR

  Medicare reassignment NPD
• Sioux Valley Memorial Hospital Association

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190

  IA

  Medicare reassignment NPD
• DLP Marquette Physician Practices Inc

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  Care Compare group NPD
• Ut Methodist Physicians LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1427317908

  MS

  Medicare reassignment
• DLP Marquette Physician Practices Inc

  • Rural Health Clinic/Center
  • Escanaba, MI
  • NPI 1679372130
  Care Compare group
• DLP Marquette Physician Practices Inc

  • Counselor
  • Marquette, MI
  • NPI 1730437245
  Care Compare group
• Gundersen Clinic LTD

  • Community/Retail Pharmacy
  • La Crosse, WI
  • NPI 1548710627
  NPD
• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD
• Southwest Health Center, Inc.

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD
• Southwest Health Center, Inc.

  • Optometrist
  • Lancaster, WI
  • NPI 1962974485
  NPD
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Lutheran Charity Association

  • Multi-Specialty Clinic/Center
  • Jamestown, ND
  • NPI 1073569794
  NPD
• Lutheran Charity Association

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981
  NPD
• Riverton Physician Practices LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Riverton, WY
  • NPI 1174858302
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561

  Hospital

  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048

  Hospital

  Care Compare affiliation

Specialty

General Surgery

Education

University of Southern California Keck School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Hospital District 117 clinicians

DLP Marquette Physician Practices Inc 193 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IA, ND, MI, OR, WI, MS, WY7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhalil120280@mymichiganhealth.midirect.net
• Direct secure messaging: mkhalil923454@wm.providencedirect.org
• Direct secure messaging: mkhalilagency304220@samhealth.direct-ci.com
• Direct secure messaging: mkhalilagency251692@samhealth.direct-ci.com
• Direct secure messaging: mkhalil822616@direct.emplifyhealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2024.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1124080015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 VIA CORONEL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741992",
            "telephone_number": "585-748-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOPHER DR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-372-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8705 Complex Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231401",
            "country_code": "US",
            "telephone_number": "585-748-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202125",
            "country_code": "US",
            "telephone_number": "541-269-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 SW Abbey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-574-7235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Eastmoreland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047544",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Bethel Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Elm St SW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211958",
            "country_code": "US",
            "telephone_number": "541-812-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MICHAEL",
        "middle_name": "ROUSHDY",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A67078",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD178526",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "69129",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "14069",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "77985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhalilagency304220@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "705 Elm St SW Ste 300",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert A Karpinsky, MSSW
• Aaron James Kast, PT, DPT
• Jessie Marie Kellogg
• Brittany Kelly, CTRS
• Madeline Kennedy, M.S., CF-SLP
• Ann Marie Kiel, RD
• Nichele Elizabeth Killoran, AUD
• Alyssa Kliment
• Ashleigh Klipstein
• Jana Lynn Knapp, MASSAGE THERAPIST

• All providers in Tomah, WI
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.