Individual provider Active NPI

Moussa Sissoko, MD

  • Hematology & Oncology Physician
  • Vero Beach, FL
National Provider Identifier
1669679809
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
176905 Issued in FL
Practice address
3555 10TH CT
Vero Beach, FL 32960-5013
Phone
(772) 563-4673
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2024-02971 NC
Hematology & Oncology Physician 207RH0003X 176905 FL Primary

Addresses

Primary practice location

3555 10TH CT
Vero Beach, FL 32960-5013

Mailing address

3555 10TH CT
Vero Beach, FL 32960-5013
Phone (772) 563-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190205002769 VA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4981728235 Reassigns benefits to 1 organization
I20241204000278 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4981728235 Reassigns benefits to 1 organization
I20260114000880 FL Practitioner - Hematology/Oncology 4981728235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

3555 10TH CT
Suite 200B
Vero Beach, FL 32960-5013
Phone (772) 226-4810

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176905FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 3, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 12, 2026 Accepting new patients
NMG Health Services LLC CurrentSince Sep 14, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Indian River Health Services Inc CurrentSince Jan 12, 2026 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 3, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Hematology & Oncology CurrentSince Sep 14, 2024 Accepting new patients

Locations

3555 10th Ct
Ste 200B
Vero Beach, FL 32960
Phone (772) 226-4810

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 5105
Vero Beach, FL 32960

1333 S Dickinson Dr
Unit 200
Leland, NC 28451
Phone (910) 667-3000

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2008 Health Campus Dr
Rockingham, VA 22801
Phone (540) 564-5532

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: msissoko1596210@direct.novanthealth.org
  • Direct secure messaging: moussa.sissoko@katmai.ikm.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1669679809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "772-563-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "772-563-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSOKO",
        "first_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2024-02971",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "176905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.