DR. MICHAEL ROUSHDY KHALIL (M.D., F.A.C.S.) – Surgery Physician, NPI 1124080015
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for DR. MICHAEL ROUSHDY KHALIL (M.D., F.A.C.S.)
8705 Complex Dr
San Diego, CA 921231401
Phone: (585) 748-2080
Type: Location
4240 Bethel Rd Ste 200
Olive Branch, MS 386548737
Phone: (901) 758-7970
Fax: (901) 266-6425
Type: Location
1325 Eastmoreland Ave Ste 310
Memphis, TN 381047544
Phone: (901) 758-7970
Fax: (901) 266-6425
Type: Location
1775 Thompson Rd
Coos Bay, OR 974202125
Phone: (541) 269-8111
Type: Location
930 SW Abbey St Ste B
Newport, OR 973654820
Phone: (541) 574-7235
Type: Location
705 Elm St SW Ste 300
Albany, OR 973211958
Phone: (541) 812-4580
Type: Location
1216, Via Coronel, Palos Verdes Estates, Los Angeles County, California, 90274, United States
PALOS VERDES ESTATES, CA 902741992
Phone: (585) 748-2080
Type: Mailing
505 GOPHER DR
TOMAH, WI 546604513
Phone: (608) 372-2181
Type: Location
8705, Complex Drive, Kearny Mesa, San Diego, San Diego County, California, 92123, United States
SAN DIEGO, CA 921231401
Phone: (585) 748-2080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140122001571 | I | General Surgery | IA | TBD |
| I20160414001494 | I | General Surgery | ND | TBD |
| I20160916001468 | I | General Surgery | MI | TBD |
| I20180307001467 | I | General Surgery | OR | TBD |
| I20200803000863 | I | General Surgery | WI | TBD |
| I20231117002935 | I | General Surgery | MS | TBD |
| I20240620000878 | I | General Surgery | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | OR | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| N E U R O L O G Y | OR | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology) | CA | |
| Cardiovascular Disease (Cardiology) | ME | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Cardiovascular Disease (Cardiology) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.