Active NPI
Mohit Sourabh Kasibhatla, MD
- Radiation Oncology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2006-01262
- Practice address
- 524 Moye Blvd
Greenville, NC 27834-2848 - Phone
- (252) 551-6300
- Fax
- (252) 551-6391
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2006-01262 | NC | Primary |
| Radiation Oncology Physician | 2085R0001X | MD12575 | RI |
Addresses
Primary practice location
524 Moye Blvd
Greenville, NC 27834-2848
Mailing address
524 Moye Blvd
Greenville, NC 27834-2848
Phone (252) 551-6300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008032332 | Medicaid | CT | |
| P00756245 | Other | RI | RAILROAD MEDICARE - RWRT |
| P01044492 | Other | RI | RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER |
| MK69589 | Medicaid | RI | |
| 7263727 | Other | RI | AETNA |
| P00762785 | Other | RI | RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI |
| P00912570 | Other | RI | RAILROAD MEDICARE - SOUTH COUNTY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkasibhatla288343@direct.vidanthealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Radiation Oncology
- Education
- Duke University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
524 Moye Blvd
Greenville, NC 27834-2848
Phone (252) 847-0868
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01262 | NC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Radiation Oncology LLC | Radiation Oncology | Current | Accepting new patients |
| South County Radiation Therapy, LLC | Radiation Oncology | Past | Accepting new patients |
Locations
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
301 Academy St S
Ahoskie, NC 27910
Phone (252) 209-8483
524 Moye Blvd
Greenville, NC 27834
Phone (252) 551-6300
703 Doctors Dr
Kinston, NC 28501
Phone (252) 522-7600
212 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 537-1717
Organizations & group practices 4
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.
-
- Radiation Oncology Physician
- Greenville, NC
- NPI 1821465642
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
-
- Radiation Oncology Physician
- Wakefield, RI
- NPI 1841270303
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Roanoke-Chowan Hospital
- General Acute Care Hospital
- Ahoskie, NC
- NPI 1467441394
-
dba Ekg Eeg
- Cardiology Technician
- Kinston, NC
- NPI 1013957414
Hospital
-
dba UNC Lenoir Health Care
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
-
dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
dba ECU Health Medical Center
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1841382660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 MOYE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342848",
"telephone_number": "252-551-6300",
"fax_number": "252-551-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 MOYE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342848",
"telephone_number": "252-551-6300",
"fax_number": "252-551-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASIBHATLA",
"first_name": "MOHIT",
"middle_name": "SOURABH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2006-01262",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "RI",
"license": "MD12575",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008032332",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - RWRT",
"identifier": "P00756245",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER",
"identifier": "P01044492",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MK69589",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7263727",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI",
"identifier": "P00762785",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - SOUTH COUNTY",
"identifier": "P00912570",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkasibhatla288343@direct.vidanthealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.