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

Nicholas Madathilate

Individual provider Anesthesiologist Assistant · NPI 1245069442

Nicholas Madathilate is an Anesthesiology Assistant in Venice, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2024, 2 years ago. Practices with Greater Florida Anesthesiologists LLC, a 318-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

856 Dahoon Cir
Venice, FL 34293-7251
Phone: (941) 735-5425
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 1020 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1245069442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024
Mailing address856 Dahoon Cir, Venice, FL 34293-7251

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2024 (2 years in practice)
Group practice Greater Florida Anesthesiologists Llc — 318 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare