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

Mikiyas Fitawok, CAA

Individual provider Anesthesiologist Assistant · NPI 1447823075

Mikiyas Fitawok, CAA is an Anesthesiology Assistant in Madison, Wisconsin. Qualified in 2021, 5 years ago. Practices with American Anesthesiology of North Carolina PLLC, a 320-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana, North Carolina, Texas and Wisconsin.

Years since qualifying
5
Licensed in
IN, NC, TX, WI
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

302 Samuel Dr Apt 218
Madison, WI 53717-2216
Phone: (202) 629-6468
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 274-0275
  • 1168 E Cutlar Xing Ste 101, Leland, NC 28451-6485 — (910) 332-1550
  • 12222 Merit Dr Ste 600, Dallas, TX 75251-3294 — (972) 715-5000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X (TX)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 193-17 (WI)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 2000-00031 (NC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 75000194A (IN)

Record details

NPI number1447823075
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice American Anesthesiology Of North Carolina Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Madison