Individual provider Active NPI

Joshua Bosley Kiba, PA

  • Physician Assistant
  • Hudson, FL
National Provider Identifier
1023433158
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006955 Issued in FL
Practice address
7544 Jacque Rd
Hudson, FL 34667-7162
Phone
(727) 697-2200
Fax
(727) 863-8774
NPI assigned
Feb 26, 2014
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006955 FL Primary

Addresses

Primary practice location

7544 Jacque Rd
Hudson, FL 34667-7162

Mailing address

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140324002239 MI Practitioner - Physician Assistant 1951532530 Reassigns benefits to 1 organization
I20260211003086 FL Practitioner - Physician Assistant 1951532530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

940 River Centre Dr
Port Huron, MI 48060-4463
Phone (810) 985-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006955FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Port Huron PC Physician Assistant CurrentSince Mar 31, 2014 Accepting new patients
The Center for Bone and Joint Disease, PA Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
The Center for Bone and Joint Disease, PA CurrentSince Jan 1, 2026 Accepting new patients

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

10221 Yale Ave
Weeki Wachee, FL 34613
Phone (352) 405-1125

940 River Centre Dr
Port Huron, MI 48060
Phone (810) 985-4900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1023433158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200",
            "fax_number": "727-863-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200",
            "fax_number": "727-863-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBA",
        "first_name": "JOSHUA",
        "middle_name": "BOSLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "5601006955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.