Individual provider Active NPI

Kimberly Ann Corbitt, DO

  • Vascular Surgery Physician
  • Lakeland, FL
National Provider Identifier
1528420197
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
OS20172 Issued in FL
Practice address
5325 US Hwy 98 S
Lakeland, FL 33812-3381
Phone
(863) 937-3139
NPI assigned
Mar 23, 2016
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10055358 TX
Vascular Surgery Physician 2086S0129X OS20172 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 5101026168 MI

Addresses

Primary practice location

5325 US Hwy 98 S
Lakeland, FL 33812-3381

Mailing address

PO Box 1328
Highland City, FL 33846-1328
Phone (863) 937-3139

Other practice location 1

1601 W Timberlane Dr Ste 600
Plant City, FL 33566-0958
Phone (863) 937-3139

Other practice location 2

202 Howard St Ste 2
Auburndale, FL 33823-3431
Phone (863) 937-3139

Other identifiers 1

IdentifierTypeStateIssuer
121694100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002938 FL Practitioner - Vascular Surgery 3779984281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein and Vascular Experts PLLCGroup PAC ID 7618235839, 5 clinicians

Practice addresses (Care Compare)

5325 US Hwy 98 S
Lakeland, FL 33812-3333
Phone (863) 937-3139

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10055358TXMDSurgery Physician
OS20172FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein & Vascular Experts, PLLC Vascular Surgery CurrentSince Jan 20, 2024 Accepting new patients
Plasticg LLC Past Accepting new patients

Locations

202 Howard St
Ste 2
Auburndale, FL 33823
Phone (863) 937-3139

5907 Hillside Heights Dr
Lakeland, FL 33812
Phone (863) 647-2200

1601 W Timberlane Dr
Ste 600
Plant City, FL 33566
Phone (863) 937-3139

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 3

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1528420197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "HIGHLAND CITY",
            "state": "FL",
            "postal_code": "338461328",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 US HWY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123381",
            "telephone_number": "863-937-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Timberlane Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335660958",
            "country_code": "US",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Howard St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338233431",
            "country_code": "US",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10055358",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS20172",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101026168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121694100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.