NPIMap

Organization Active NPI

Rex Hospital Inc.

Doing business as Rex Hospital

  • General Acute Care Hospital
  • Raleigh, NC
National Provider Identifier
1497797088
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0065 953429 Issued in NC
Legal business name
REX HOSPITAL INC.
Doing business as
Rex Hospital
Practice address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone
(919) 784-3100
Fax
(919) 784-3004
NPI assigned
Jun 11, 2006
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Mr. Benjamin James Mathew
Title
Cfo
Phone
(919) 784-1440

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0065 953429 NC Primary
Inpatient Hospice 315D00000X H0065 953429 NC
Non-emergency Medical Transport (VAN) 343900000X H0065 953429 NC

Addresses

Primary practice location

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Mailing address

4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3100

Other names 1

  • Rex Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030407000007 NC Part A Provider - Hospital 0840109864 Practice locations: Raleigh, NC; Holly Springs, NC; Knightdale, NC; Garner, NC; Cary, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497797088. Details of each certification follow.

Hospital certification: CCN 340114

Legal name
REX HOSPITAL INC
Doing business as
REX HOSPITAL, UNC REX HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 18, 1966
Last certification
Apr 24, 2015
Beds
425
Ownership / control type
State
Organization structure
CorporationNon-profit
Enrollment address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Rex HospitalCCN 340114 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Rex Healthcaregarner F16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations (25 of 28)

115 Kildaire Park Dr
Ste 101
Cary, NC 27518
Phone (919) 387-3180

1515 SW Cary Pkwy
Ste 120
Cary, NC 27511
Phone (919) 387-3230

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

2076 Veterans Pkwy
Ste 100
Clayton, NC 27520
Phone (919) 359-0322

700 Tilghman Dr
Ste 728
Dunn, NC 28334
Phone (910) 897-7806

1400 Timber Dr E
Garner, NC 27529
Phone (919) 661-2085

2615 Hospital Rd
#300
Goldsboro, NC 27534
Phone (919) 734-0033

781 Avent Ferry Rd
Ste 208
Holly Springs, NC 27540
Phone (919) 784-7460

781 Avent Ferry Rd
Ste 210
Holly Springs, NC 27540

781 Avent Ferry Rd
Ste 212
Holly Springs, NC 27540
Phone (984) 974-4010

6602 Knightdale Blvd
Ste 104
Knightdale, NC 27545
Phone (919) 747-5230

6602 Knightdale Blvd
Ste 106
Knightdale, NC 27545
Phone (919) 747-5240

6602 Knightdale Blvd
Ste 205
Knightdale, NC 27545
Phone (395) 598-4215

110 Pine State St
Lillington, NC 27546
Phone (910) 814-3201

1016 College St
Oxford, NC 27565
Phone (914) 969-0043

11200 Governor Manly Way
Ste 100
Raleigh, NC 27614

2901 Blue Ridge Rd
Ste 201
Raleigh, NC 27607
Phone (984) 974-0000

3050 Duraleigh Rd
Ste 101
Raleigh, NC 27612
Phone (984) 215-6980

4402 LK Boone TRL Ste 100
Raleigh, NC 27607

4414 Lake Boone Trl
Ste 108
Raleigh, NC 27607
Phone (919) 397-9772

4420 Lake Boone Trl
#200
Raleigh, NC 27607
Phone (919) 784-6818

4420 Lake Boone Trl
Rm 2400
Raleigh, NC 27607

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

512 E Davie St
Raleigh, NC 27601
Phone (919) 832-2400

2460 Curtis Ellis Dr
Ste 100
Rocky Mount, NC 27804
Phone (252) 962-2328

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Caryn Coppedge McNeill Individual Corporate DirectorBoard of Directors May 16, 2025
Ashley Miles Honeycutt Individual W-2 Managing EmployeeManager Jul 1, 2015
Kristen Jean Annis Individual W-2 Managing Employee May 6, 2019
Sonya Ann Mangum Individual W-2 Managing EmployeeManager Rex Mobile Mammo Aug 7, 2022
The New Trustees of the Rex Hospital Inc Organization, Morrisville, NC Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 16, 1986 100%
Ananth P Mohan Individual Corporate OfficerCeo/President/Vice President/Sec Jun 23, 2025
Dayatra Tishaun Matthews Individual Corporate DirectorBoard of Directors May 16, 2025
Shawn Wilford Beane Individual W-2 Managing EmployeeDirector Wound Center Oct 1, 2025
Catharine Biggs Arrowood Individual Corporate DirectorBoard of Directors Jan 24, 2014
Robert Bradford Oakes Individual Corporate DirectorBoard of Directors Jan 1, 2021
Donald Brooks Reece III Individual W-2 Managing EmployeePractice Manager IV Aug 18, 2025
University of North Carolina Health Care System Organization, Morrisville, NC Operational/Managerial Control Nov 27, 2007 100%
Daniel Thomas Reilly Individual W-2 Managing EmployeeManager Outpatient Rehab May 1, 2022
David Mills Individual Corporate DirectorBoard of Directors Jan 1, 2021
Jeffrey Todd Lindsay Individual Corporate Director Dec 26, 2023
Michael Chad Setliff Individual Corporate OfficerPresident Oct 28, 2024
Corporate DirectorBoard of Directors Oct 28, 2024
Cherie Webber Individual W-2 Managing EmployeeLaboratory Manager Mar 9, 2020
Jason Thomas Sandner Individual Corporate DirectorBoard of Directors Jan 1, 2019
Kevin Tyler Anderson Individual Corporate DirectorBoard of Directors Jan 1, 2021
Meera Udayakumar Individual Corporate OfficerCmo Mar 6, 2023
Nicole M Kolacz Individual Corporate OfficerCno Apr 28, 2025
Melissa Anne Fitzpatrick Individual Corporate DirectorBoard of Directors Sep 1, 2020
Ann S Collins Individual Corporate DirectorBoard of Directors Jul 11, 2016
Roy Conrad Tempke Individual W-2 Managing EmployeeVP Clinical Ops & Coo Holly Springs Nov 1, 2021
Marilyn R Pearson Individual Corporate DirectorBoard of Directors Mar 7, 2022
Benjamin J Mathew Individual Corporate OfficerChief Financial Officer Jan 8, 2023

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

Affiliated clinicians 1,969

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,969

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1497797088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3100",
            "fax_number": "919-784-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3100",
            "fax_number": "919-784-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-784-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0065      953429",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NC",
            "license": "H0065      953429",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "H0065     953429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rex Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rex Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.