Individual provider Active NPI

Ahmed M Elkeeb, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Jacksonville, FL
National Provider Identifier
1568648699
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME172681 Issued in FL
Practice address
3627 University Blvd S Ste 605
Jacksonville, FL 32216-7401
Phone
(904) 666-5050
Fax
(904) 605-4872
NPI assigned
Jan 18, 2008
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME172681 FL
Ophthalmology Physician 207W00000X ME172681 FL
Ophthalmology Physician 207W00000X 2016018569 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X ME172681 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2016018569 MO

Addresses

Primary practice location

3627 University Blvd S Ste 605
Jacksonville, FL 32216-7401

Mailing address

3627 University Blvd S Ste 605
Jacksonville, FL 32216-7401
Phone (904) 666-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elkeeba@southatlanticretina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160902000196 MO Practitioner - Ophthalmology 9931275450 Reassigns benefits to 2 organizations
I20251020000085 FL Practitioner - OphthalmologyPractitioner - Internal Medicine 9931275450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3627 University Blvd S
Suite 605
Jacksonville, FL 32216-7401
Phone (904) 658-0176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016018569MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Atlantic Retina PLLC Ophthalmology CurrentSince Oct 7, 2025 Accepting new patients
The Curators of the University of Missouri CurrentSince Oct 10, 2016 Accepting new patients
Curators of the University of Missouri CurrentSince Oct 10, 2016 Accepting new patients

Locations

3627 University Blvd S
Ste 605
Jacksonville, FL 32216
Phone (904) 658-0176

1 Hospital Dr
Columbia, MO 65201
Phone (573) 882-2568

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1568648699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167401",
            "telephone_number": "904-666-5050",
            "fax_number": "904-605-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167401",
            "telephone_number": "904-666-5050",
            "fax_number": "904-605-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKEEB",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME172681",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME172681",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2016018569",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME172681",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2016018569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elkeeba@southatlanticretina.com",
            "affiliation": "N",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3627 University Blvd S Ste 605",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322167401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.