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

Individual provider Anesthesiologist Assistant · NPI 1861223661

Bouthiana Fathallah, CAA is an Anesthesiology Assistant in Trinity, Florida. Qualified in 2024, 2 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

9330 State Road 54
Trinity, FL 34655-1808
Phone: (727) 834-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1861223661
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 18 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Piedmont Anesthesia LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 554 clinicians in the practice; 12 are shown here.

Other providers in Trinity