Dr. Michael Roushdy Khalil, M.D., F.A.C.S.
Dr. Michael Roushdy Khalil is a Surgery Physician provider (Surgery) practicing in Tomah, WI, registered in the NPPES registry with NPI 1124080015 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124080015 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Michael Roushdy Khalil |
| Credential | M.D., F.A.C.S. |
| Sex | Male |
| Practice address | 505 GOPHER DR, Tomah, WI, 54660 |
| Phone | 6083722181 |
| Enumeration date | 2006-04-05 |
| Last updated in NPPES | 2024-09-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | A67078 | CA |
| 208600000X | Surgery Physician | Secondary | MD178526 | OR |
| 208600000X | Surgery Physician | Secondary | 69129 | TN |
| 208600000X | Surgery Physician | Secondary | 14069 | ND |
| 208600000X | Surgery Physician | Primary | 77985 | WI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Michael Khalil, M.D., F.A.C.S. NPI: 1124080015 Taxonomy: 208600000X (Surgery Physician) Address: 505 GOPHER DR, Tomah, WI, 54660
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497708044 | Gundersen Clinic, Ltd. | Organization | Clinic/Center | Tomah, WI |
| 1215976923 | Gundersen Clinic, Ltd. | Organization | Optometrist | Tomah, WI |
| 1609818020 | Gundersen Clinic, Ltd. | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Tomah, WI |
| 1992850036 | John Jackson | Individual | Family Medicine Physician | Tomah, WI |
| 1538484407 | Teri Gjerseth | Individual | Family Nurse Practitioner | Tomah, WI |
| 1467749184 | Michelle Gavin | Individual | Gerontology Nurse Practitioner | Tomah, WI |
| 1487032439 | Jayde Thompson | Individual | Surgical Physician Assistant | Tomah, WI |
| 1841725173 | Kara Kamps-Schmitt | Individual | Family Medicine Physician | Tomah, WI |
Verify this record
Cross-check NPI 1124080015 against the authoritative CMS record: view Dr. Michael Roushdy Khalil on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-19.