Active NPI
Kimberly Ann Corbitt, DO
- Vascular Surgery Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- OS20172
- Practice address
- 5325 US Hwy 98 S
Lakeland, FL 33812-3381 - Phone
- (863) 937-3139
- NPI assigned
- Mar 23, 2016
- Last updated
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121694100 | Medicaid | FL |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10055358 | TX | MD | Surgery Physician |
| OS20172 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein & Vascular Experts, PLLC | Vascular Surgery | Current | 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.
-
- Vascular Surgery Physician
- Lakeland, FL
- NPI 1689196248
-
- Plastic and Reconstructive Surgery Physician
- Lakeland, FL
- NPI 1992094684
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartow, FL
- NPI 1558734095
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
dba South Florida Baptist Hospital
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.