Bouthiana Fathallah, CAA
NPI 1861223661 · Anesthesiologist Assistant · Trinity, FL
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bouthiana Fathallah, CAA is a Anesthesiologist Assistant provider in Trinity, FL (NPI 1861223661).
Provider details
- NPI number
- 1861223661
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CAA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-12
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Frequently asked questions
- What is Bouthiana Fathallah's NPI number?
- Bouthiana Fathallah's National Provider Identifier (NPI) is 1861223661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bouthiana Fathallah's specialty?
- Bouthiana Fathallah is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bouthiana Fathallah located?
- Bouthiana Fathallah's practice location on file with NPPES is 9330 State Road 54, Trinity, FL 34655-1808.
- What is Bouthiana Fathallah's phone number?
- The practice phone number listed in the NPPES registry for Bouthiana Fathallah is (727) 834-4000.
- Does Bouthiana Fathallah accept Medicare?
- Bouthiana Fathallah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bouthiana Fathallah's NPI active?
- Yes — Bouthiana Fathallah's NPI (1861223661) is active in the NPPES registry as of the last update on 2024-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.