DR. KELLY EDWIN FARRIS (M.D.) – Family Medicine Physician, NPI 1710978655

DR. KELLY EDWIN FARRIS (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K8143 (TX). The NPI Number for DR. KELLY EDWIN FARRIS (M.D.) is 1710978655

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY EDWIN FARRIS (M.D.)
NPI
1710978655
Phone
(214) 884-4700
Address
3400 W WHEATLAND RD
Enumeration Date
31 October 2005
Last Update Date
6 October 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2143511800
Graduation Year
1996 (30 years ago)
PAC ID
7810968245
Group Practice PAC ID
9931001567
Professional Enrollment ID
I20040802000252
Address ID
TX752095115DA5709XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Loading map...

Provider Addresses for DR. KELLY EDWIN FARRIS (M.D.)

  • West Wheatland Road, Dallas, Dallas County, Texas, 75249, United States

    PAV III STE#360

    DALLAS, TX 752374408

    Phone: (214) 884-4700

    Fax: (214) 884-4762

    Type: Mailing

  • China Fang Restaurant, 170, East FM 544, Murphy, Collin County, Texas, 75094, United States

    SUITE 112

    MURPHY, TX 750944080

    Phone: (972) 722-6600

    Fax: (972) 722-6601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,112.

Total Amount is formed as General ($2,112) + Research ($0) + Ownership ($0) = $2,112.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($444).

Total Amount

$2,112

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040802000252IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes360177$0
99213Established patient office or other outpatient visit, 20-29 minutes14794$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8383$0
G0008Administration of influenza virus vaccine4545$0
90662Influenza vaccine split virus, preservative free4141$0
View full utilization report →

Insurance plans in this area (ZIP 75237)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931001567View full group profile
NameSpecialtyState
General SurgeryTX
Internal Medicine, Pediatric MedicineTX
Physician AssistantNC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX

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.

Frequently asked questions

What is the 10-digit NPI for DR. KELLY EDWIN FARRIS (M.D.)?
DR. KELLY EDWIN FARRIS (M.D.) — NPI 1710978655 — is the standard way to identify this listing.
Does the file indicate DR. KELLY EDWIN FARRIS (M.D.) is practicing under active NPI?
Directory data currently reports DR. KELLY EDWIN FARRIS (M.D.) as active.
What taxonomy line describes DR. KELLY EDWIN FARRIS (M.D.)?
For research purposes, treat DR. KELLY EDWIN FARRIS (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KELLY EDWIN FARRIS (M.D.) on a map?
Expect Dallas, Texas as a primary anchor for DR. KELLY EDWIN FARRIS (M.D.) unless the record lists multiple sites.
Why does DR. KELLY EDWIN FARRIS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

RUSSELL BELL (DO)

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1568465755

WAYNE BROWN (D.O.)

Family Medicine Physician
102 S Main St
NPI: 1336142512

LARRY BURCH (D.O.)

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States of America
NPI: 1487657664

DR. FRANCISCO ALONZO JR. LEAL (MD)

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1487658712

Unknown Individual

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States of America
NPI: 1265435366
315 SE 14th St
NPI: 1104829274

DANIEL JOSEPH MERKI (M.D.)

Family Medicine Physician
Flor Amarillo, Parroquia Capital Guanarito, Municipio Guanarito, Portuguesa State, Venezuela
NPI: 1306849088

GLENN ROUTHOUSKA (D.O.)

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1821091703

DR. RUCKER STEPHEN MURRY (MD)

Family Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1427051051