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Active NPI 1124080015 Individual Practitioner Male Practitioner

Dr. Michael Roushdy Khalil , MD, FACS

Surgery • Tomah, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Khalil, MD, FACS is a certified Surgery practicing in Tomah, WI. With approximately 30 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1996, Dr. Khalil delivers high-quality medical care to the local community at 505 GOPHER DR.

Dr. Khalil maintains professional affiliations with Dlp Marquette Physician Practices Inc, Bay Area Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

505 Gopher Dr

Tomah, WI 546604513

Telephone 6083722181
Associated Practice Facility / Clinic
🏢 Gundersen Clinic, Ltd. Facility NPI 1497708044

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tomah, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs Matches City Avg
City Avg: 30.0 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Tomah, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khalil (30 Years) 30 Yrs
Tomah Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
26 18 $148.38 $68.73

Medical Specialties & State Licenses

CMS Verified: 2024-09-19
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 77985

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CA A67078

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OR MD178526

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 69129

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License ND 14069

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.

Hospital & Practice Group Affiliations

Dlp Marquette Physician Practices Inc

850 W Baraga Ave, Marquette, MI 498554550

Phone: 9064493404

Bay Area Hospital District

2650 N 17th St, Coos Bay, OR 974202134

Phone: 5412698282

Bay Area Hospital District

1775 Thompson Rd, Coos Bay, OR 974202125

Phone: 5412698280

Secondary Practice Locations

8705 Complex Dr

San Diego, CA 921231401

Phone: 5857482080

1325 Eastmoreland Ave Ste 310

Memphis, TN 381047544

Phone: 9017587970

1775 Thompson Rd

Coos Bay, OR 974202125

Phone: 5412698111

930 Sw Abbey St Ste B

Newport, OR 973654820

Phone: 5415747235

4240 Bethel Rd Ste 200

Olive Branch, MS 386548737

Phone: 9017587970

705 Elm St Sw Ste 300

Albany, OR 973211958

Phone: 5418124580

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Kimberly Tozer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104214907

Certified Registered Nurse Anesthetist

Dr. Mary Lane-Peot , DNP

Nurse Practitioner - Family

NPI 1144110768

Doctor of Nursing Practice

Emily Wall , PT

Physical Therapist

NPI 1184876740

Physical Therapist

Charise Liebhart , OT

Occupational Therapist

NPI 1225536394

Occupational Therapist

Cole Dolan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245511682

Certified Registered Nurse Anesthetist

David Demask , CRNA

Nurse Anesthetist, Certified Registered

NPI 1275678468

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 30, 2023

Registered at 505 GOPHER DR, TOMAH, WI 546604513 (Tel: 6083722181)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Surgery (License #A67078 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2022

Surgery (License #14069 in ND)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Surgery (License #MD178526 in OR)

📍
Updated Business Mailing Address February 25, 2019

Registered at 1216 VIA CORONEL, PALOS VERDES ESTATES, CA 902741992 (Tel: 5857482080)

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 8705 COMPLEX DR, SAN DIEGO, CA 921231401 (Tel: 5857482080)

📍
Updated Business Mailing Address March 24, 2016

Registered at 28112 RIDGEPOINT CT, RANCHO PALOS VERDES, CA 902753250 (Tel: 5857482080)

👤
Provider Name / Credentials Updated March 24, 2016

Recorded as MICHAEL KHALIL, M.D., F.A.C.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Surgery (License #A67078 in CA)

🟢
Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124080015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: September 19, 2024
Sole Proprietor: No

Mailing Address

1216 Via Coronel

Palos Verdes Estates, CA 902741992

Phone: 5857482080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.