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

NPI 1124080015ActiveIndividual· Surgery· Tomah, WI

Surgery (M.D., F.A.C.S.) in Tomah, Wisconsin, trained at University of Southern California Keck School of Medicine (class of 1996). Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery.

Overview

NPI	1124080015
Status	Active
Entity type	Individual
Credential	M.D., F.A.C.S.
Sole proprietor	No
NPI issued	Apr 5, 2006
Last updated in NPPES	Sep 19, 2024
Certified by provider	Sep 19, 2024

Specialties and licenses

Taxonomy	Code	License	State
Surgery Primary	208600000X	77985	WI
Surgery	208600000X	A67078	CA
Surgery	208600000X	MD178526	OR
Surgery	208600000X	69129	TN
Surgery	208600000X	14069	ND

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - General Surgery (IA); Practitioner - General Surgery (MI); Practitioner - General Surgery (MS); Practitioner - General Surgery (ND); Practitioner - General Surgery (OR); Practitioner - General Surgery (WI); Practitioner - General Surgery (WY)

Medicare sources and data years