Individual Healthcare Provider
Michael Roushdy Khalil, M.D., F.A.C.S.
Provider's NPPES record last updated: September 19, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124080015
- Primary Specialty
- Surgery
- Practice Location
- Tomah, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:05 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Allopathic & Osteopathic Physicians
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.
Taxonomy code 208600000X
Provider-Reported License Information
- Surgery (Wisconsin)
- 77985
- Surgery (California)
- A67078
- Surgery (Oregon)
- MD178526
- Surgery (Tennessee)
- 69129
- Surgery (North Dakota)
- 14069
Practice Locations
Practice Location
505 Gopher Dr
Tomah, Wisconsin 54660-4513
Phone: (608) 372-2181
Additional Practice Location
8705 Complex Dr
San Diego, California 92123-1401
Phone: (585) 748-2080
Additional Practice Location
1325 Eastmoreland Ave Ste 310
Memphis, Tennessee 38104-7544
Phone: (901) 758-7970
Fax: (901) 266-6425
Additional Practice Location
1775 Thompson Rd
Coos Bay, Oregon 97420-2125
Phone: (541) 269-8111
Additional Practice Location
930 Sw Abbey St Ste B
Newport, Oregon 97365-4820
Phone: (541) 574-7235
Additional Practice Location
4240 Bethel Rd Ste 200
Olive Branch, Mississippi 38654-8737
Phone: (901) 758-7970
Fax: (901) 266-6425
Additional Practice Location
705 Elm St Sw Ste 300
Albany, Oregon 97321-1958
Phone: (541) 812-4580
Record Information
- Enumeration Date
- April 5, 2006
- Provider's NPPES Record Last Updated
- September 19, 2024
- Certification Date
- September 19, 2024
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue