Provider Demographics
NPI:1629031638
Name:BARELLI, TONY ELDON (MD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:ELDON
Last Name:BARELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:ELDON
Other - Last Name:BARELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3630 SW FAIRLAWN RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3966
Mailing Address - Country:US
Mailing Address - Phone:785-273-8080
Mailing Address - Fax:785-273-2583
Practice Address - Street 1:3630 SW FAIRLAWN RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3966
Practice Address - Country:US
Practice Address - Phone:785-273-8080
Practice Address - Fax:785-273-2583
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0425771207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100354830AMedicaid
KS880156051OtherTRICARE
KS050071972OtherRAILROAD MEDICARE
KS054801OtherBCBS
KS054801OtherBCBS
KS050071972OtherRAILROAD MEDICARE
KSC95757Medicare UPIN