Individual provider Active NPI

Gordon Charles Keehn, M.D.

  • Ophthalmology Physician
  • The Villages, FL
National Provider Identifier
1306845052
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME169464 Issued in FL
Practice address
1050 Old Camp Rd Ste 230
The Villages, FL 32162-1762
Phone
(352) 350-8484
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME169464 FL Primary

Addresses

Primary practice location

1050 Old Camp Rd Ste 230
The Villages, FL 32162-1762

Mailing address

1050 Old Camp Rd Ste 230
The Villages, FL 32162-1762
Phone (352) 350-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001566 FL Practitioner - Ophthalmology 2668514241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes at the Villages PAGroup PAC ID 5294987905, 16 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 230
The Villages, FL 32162-1762
Phone (352) 350-8484

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME169464FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St . Lukes at the Villages, PA Ophthalmology CurrentSince Nov 29, 2024 Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology CurrentSince Nov 1, 2024 Accepting new patients
Garland Eye Associates, P.a. Ophthalmology CurrentSince May 18, 2025 Accepting new patients

Locations

25232 State Road 54
Ste 1
Lutz, FL 33559
Phone (727) 943-3111

187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 350-8484

1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484

1626 Forest Ln S
Ste B
Garland, TX 75042
Phone (972) 272-5591

Interoperability endpoints

  • Direct secure messaging: gordanc.keehn.p3@direct.stlukeseye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1306845052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD STE 230",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-350-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD STE 230",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-350-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEHN",
        "first_name": "GORDON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME169464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.