NPIMap

Organization Active NPI

Duke University Health System Inc

Doing business as Durham Regional Hospital

  • Psychiatric Hospital Unit
  • Durham, NC
National Provider Identifier
1811996820
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0233 Issued in NC
Legal business name
DUKE UNIVERSITY HEALTH SYSTEM INC
Doing business as
Durham Regional Hospital
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 620-1078
Fax
(919) 620-1247
NPI assigned
Jul 20, 2005
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Nga Thach
Title
Chief of Staff, Finance
Phone
(919) 613-8902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0233 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other names 1

  • Durham Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080311000181 NC Part A Provider - Hospital 2567372345 Practice locations: Durham, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811996820. Details of each certification follow.

Hospital certification: CCN 34S155

Legal name
DUKE UNIVERSITY HEALTH SYSTEM, INC
Doing business as
DUKE REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 1998 in NC
Enrollment address
3643 N Roxboro St
Durham, NC 27704-2702
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Duke University Health Sy46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

4117 N Roxboro St
Ste 400
Durham, NC 27704

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
George R Wagoner Individual 5% Or Greater Direct Ownership Interest Oct 18, 2012
Corporate Officer Oct 18, 2012
Alison P Toth Individual Corporate Officer Jul 1, 2023
Garheng Kong Individual Corporate Officer Jul 1, 2023
Moira Ann Rynn Individual Corporate Officer Jul 1, 2021
Leslie E Bains Individual Corporate Director Jul 1, 2014
Carmichael S Roberts Individual Corporate Director Jul 1, 2017
Mary Earley Klotman Individual Corporate Director Jul 1, 2012
Thomas H Lister Individual Corporate Officer Jul 1, 2023
John Stuart Smith Individual 5% Or Greater Direct Ownership Interest Oct 18, 2012
W-2 Managing Employee Jul 1, 2005
Peter Michael Grossi Individual Corporate Officer Jul 1, 2023
Denise Barnes Individual Corporate Officer Nov 3, 2023
Craig T Albanese Individual Corporate Officer Apr 1, 2023
Velma Denis Shird Bennett Individual Corporate Officer Jan 13, 2023
Nancy M Schlichting Individual Corporate Director Jul 1, 2016
Federico Manon Individual Corporate Officer Jan 1, 2022
Gail Belvett Individual Corporate Director Jul 1, 2016
Laurene Sperling Individual Corporate Officer Jul 1, 2021
Gerald L Hassell Individual Corporate Director Aug 23, 2019
William a Hawkins Individual Corporate Officer Jul 1, 2012
Erik Karl Paulson Individual Corporate Officer Jul 1, 2020
Vincent Price Individual Corporate Director Jul 1, 2017

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peak Rehabilitation HospitalApex, NC, CCN 343028 Hospital 5% Or Greater Direct Ownership Interest (33.3%) Feb 25, 2025
Duke Home HealthDurham, NC, CCN 347136 Home health agency 5% Or Greater Direct Ownership Interest Aug 1, 2006
Duke HospiceDurham, NC, CCN 341507 Hospice 5% Or Greater Direct Ownership Interest Aug 1, 2006

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1811996820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-620-1078",
            "fax_number": "919-620-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "THACH",
        "authorized_official_first_name": "NGA",
        "authorized_official_title_or_position": "CHIEF OF STAFF, FINANCE",
        "authorized_official_telephone_number": "919-613-8902"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.