Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly M Farroll, MD

Individual provider Emergency Medicine Physician · NPI 1063503704

Dr. Kelly M Farroll, MD is a Family Practice in Granite City, Illinois. Graduated from Southern Illinois University School of Medicine in 1993, 33 years ago. Practices with Southern Illinois Healthcare Foundation Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2166 Madison Ave
Granite City, IL 62040-4700
Phone: (618) 452-3301
Fax: (618) 452-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036093514 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-093514 (IL)

Record details

NPI number1063503704
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Southern Illinois Healthcare Foundation Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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