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

David A Kibby, PA

Individual provider Physician Assistant · NPI 1649481409

David A Kibby, PA is a Physician Assistant in Syracuse, New York. Qualified in 2007, 19 years ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011985 (NY)

Record details

NPI number1649481409
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESNovember 23, 2011
Mailing address5719 Widewaters Pkwy, Syracuse, NY 13214-1985

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Syracuse