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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIKIYAS FITAWOK CAA
NPI 1447823075
Anesthesiologist Assistant in Madison, WI

Active since July 21, 2021
77.43/100
CMS Quality Rating
302 SAMUEL DR APT 218, MADISON, WI 53717(202) 629-6468 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Jun 4, 2026, Nov 8, 2024 and 2 more (5 updates tracked since 2021).

About Mikiyas Fitawok Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKIYAS FITAWOK CAA (NPI 1447823075) is an individual anesthesiologist assistant in Madison, Wisconsin, licensed in Wisconsin (193-17) and active in the NPI registry since July 2021. He is affiliated with Indiana University Health, maintains 3 additional practice locations, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2021).

NPPES Registry Identity

NPI1447823075
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMIKIYAS FITAWOKCredential: CAA
Location Address302 SAMUEL DR APT 218Madison, WI 53717-2216
Mailing Address302 Samuel Dr Apt 218Madison, WI 53717-2216 · (202) 629-6468
Phone(202) 629-6468
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1447823075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in WI · 193-17✔ Licensed in NC · 2000-00031✔ Licensed in IN · 75000194A
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
302 SAMUEL DR APT 218, Madison, WI 53717
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112222 Merit Dr Ste 600Dallas, TX 75251-3294 · Phone (972) 715-5000 · Fax (972) 715-9976
Location 21168 E Cutlar Xing Ste 101Leland, NC 28451-6485 · Phone (910) 332-1550
Location 31701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 274-0275 · Fax (317) 274-0256

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikiyas Fitawok Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274937230
PECOS Enrollment IDI20241125001611

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikiyas Fitawok's NPI number?

The NPI number for Mikiyas Fitawok is 1447823075. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Mikiyas Fitawok located?

Mikiyas Fitawok practices at 302 Samuel Dr Apt 218, Madison, WI 53717. The listed phone number is (202) 629-6468.

What is Mikiyas Fitawok's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Mikiyas Fitawok enrolled in Medicare?

Yes. Mikiyas Fitawok is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mikiyas Fitawok accept?

Health plans from CareSource list Mikiyas Fitawok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mikiyas Fitawok affiliated with any hospitals?

According to CMS data, Mikiyas Fitawok is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Mikiyas Fitawok was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.