Rex Surgery Center of Wakefield, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REX SURGERY CENTER OF WAKEFIELD, LLC

Practice address

11200 Governor Manly Way Ste 110
Raleigh, NC 27614-7360

Phone

(919) 570-7510

Fax

(919) 570-7511

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin Mathew

Title

Cfo

Phone

(919) 784-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Rex Surgery Center of Wakefield LLCCCN 34C0001201

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dhagash Pankaj Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
  • NPI 1912428608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1013425933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-7510",
            "fax_number": "919-570-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-7510",
            "fax_number": "919-570-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX SURGERY CENTER OF WAKEFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-784-1440"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Physicians LLC
• Rex Physicians LLC
• Rex Physicians, LLC
• Rex Physicians, LLC
• Rex Radiation Oncology, LLC
• Thalia Reyes Suarez
• Diossanta Reyes, LMFT
• Judith Saray Reyes, LMFT
• Kiara Mariah Reyes
• Lavinia T Reyes, MD

• Ambulatory Surgical Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.