Rex Hospital, Inc.

Organization Active NPI Nutrition Education Nutritionist · Raleigh, NC

NPI 1821472572 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1821472572
Entity type
Organization (NPI type 2)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
Legal business name
REX HOSPITAL, INC.
Practice address
4200 Lake Boone TRL
Raleigh, NC 27607-6521
Phone
(919) 784-1371
Fax
(919) 784-1396
NPI assigned
Jul 13, 2015
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 15

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

Practitioners 513

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

View all 513

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031204000658 NC Part B Supplier - Clinic/Group Practice 0840109864 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Raleigh, NC; Knightdale, NC; Cary, NC

National Provider Directory

Tax ID family
Rex Primary Care North (16 organizations share this tax ID)

Locations

1515 SW Cary Pkwy
Ste 150
Cary, NC 27511
Phone (919) 387-0080

211 Friday Center Dr
Ste 2093
Chapel Hill, NC 27517

4200 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-1303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist
Group: 193400000X SINGLE SPECIALTY GROUP
133NN1002X Yes

Addresses

Primary practice location

4200 Lake Boone TRL
Raleigh, NC 27607-6521

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491
Phone (984) 974-1256

Other names

  • Rex Nutrition Services Doing business as

Electronic endpoints

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

Other providers in Raleigh, NC

All providers in Raleigh, NC · Nutrition Education Nutritionist in North Carolina

Sources for this page

Verify at the official NPI Registry.