Individual provider Active NPI

Mohit Sourabh Kasibhatla, MD

  • Radiation Oncology Physician
  • Greenville, NC
National Provider Identifier
1841382660
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2006-01262 Issued in NC
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

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008032332MedicaidCT
P00756245OtherRIRAILROAD MEDICARE - RWRT
P01044492OtherRIRAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER
MK69589MedicaidRI
7263727OtherRIAETNA
P00762785OtherRIRAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
P00912570OtherRIRAILROAD MEDICARE - SOUTH COUNTY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000527 NC Practitioner - Radiation Oncology 7517998578 Reassigns benefits to 3 organizations

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
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Vidant Radiation Oncology LLCGroup PAC ID 2567768021, 8 clinicians

Practice addresses (Care Compare)

524 Moye Blvd
Greenville, NC 27834-2848
Phone (252) 847-0868

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01262NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Radiation Oncology LLC Radiation Oncology CurrentSince Jul 15, 2019 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.