NPIMap

Organization Active NPI

Rex Hospital Inc.

  • 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.
Practice address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone
(919) 784-3100
Fax
(919) 784-3004
NPI assigned
Jun 11, 2006
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 identifiers 14

IdentifierTypeStateIssuer
5052479OtherNCUHC-MEDICARE COMPLETE
054585OtherNCAETNA
015A2OtherNCNC STATE GOV PLAN #
3400114MedicaidNC
00459OtherNCBLUE CROSS IP PROVIDER #
00460OtherNCBLUE CROSS OP PROVIDER #
5052479OtherNCUNITED HEALTH CARE PLAN #
910HOSOtherNCPARTNERS
3401140OtherNCWELLPATH
3406898MedicaidNC
00460OtherNCNC STATE GOV PLAN #
015A2OtherNCBLUE CROSS REHAB PROVIDER
227677OtherNCMAMSI ALLIANCE PPO
00459OtherNCNC STATE GOV PLAN #

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

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).

National Provider Directory

National Provider Directory
Tax ID family
Rex Primary Care North16 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

911 S Hughes St
Apex, NC 27502
Phone (919) 363-6011

6715 McCrimmon Pkwy
Ste 201
Cary, NC 27519
Phone (984) 215-6388

2076 Veterans Pkwy
Ste 330
Clayton, NC 27520
Phone (919) 585-8100

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

1165 US 70 Hwy W
Garner, NC 27529
Phone (984) 960-1400

300 Health Park Dr
Ste 114
Garner, NC 27529
Phone (919) 250-2275

781 Avent Ferry Rd
Ste 210
Holly Springs, NC 27540

781 Avent Ferry Rd
Ste 214
Holly Springs, NC 27540
Phone (919) 567-6133

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

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

6905 Knightdale Blvd
Ste 103
Knightdale, NC 27545
Phone (919) 573-1220

3000 New Bern Ave
Ste G100
Raleigh, NC 27610
Phone (919) 231-6132

11200 Governor Manly Way
Ste 112
Raleigh, NC 27614
Phone (919) 570-7640

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

11200 Governor Manly Way
Ste 208
Raleigh, NC 27614

4420 Lake Boone Trl
Rm 2400
Raleigh, NC 27607

11200 Governor Manly Way
Ste 100
Raleigh, NC 27614

2800 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 571-8304

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

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

511 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 724-8054

509 N Brightleaf Blvd
#B
Smithfield, NC 27577

2605 Forest Hills Rd SW
Ste D
Wilson, NC 27893
Phone (252) 243-7161

130 Glendale Dr W
Wilson, NC 27893
Phone (252) 234-9469

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 18

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

View all 18

Affiliated clinicians 1,969

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

View all 1,969

Care Compare: Hospital

Medicare Care Compare
Listed as
Rex HospitalCCN 340114
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

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC-MEDICARE COMPLETE",
            "identifier": "5052479",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "054585",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE GOV PLAN #",
            "identifier": "015A2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400114",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IP PROVIDER #",
            "identifier": "00459",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OP PROVIDER #",
            "identifier": "00460",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PLAN #",
            "identifier": "5052479",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "910HOS",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "3401140",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406898",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE GOV PLAN #",
            "identifier": "00460",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REHAB PROVIDER",
            "identifier": "015A2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ALLIANCE PPO",
            "identifier": "227677",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE GOV PLAN #",
            "identifier": "00459",
            "state": "NC"
        }
    ],
    "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.