Active NPI
Rex Hospital Inc
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Raleigh, NC
National Provider Identifier
1972807352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- REX HOSPITAL INC
- Practice address
- 4420 Lake Boone TRL
Raleigh, NC 27607-7505 - Phone
- (919) 784-3298
- NPI assigned
- Dec 29, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Maria Jayoussi
- Title
- VP Finance Community Physicians
- Phone
- (440) 476-1713
Other NPIs on the same Medicare enrollment 32
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Raleigh, NC
- NPI 1124694567
O20140613001181
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2032180 | Unc Rex Holly Springs Hospital Laboratory | Accreditation | Aug 7, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140613001181 | NC | Part B Supplier - Clinic/Group Practice | 0840109864 |
Receives reassigned benefits from 10 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cary, NC; Raleigh, NC |
National Provider Directory
National Provider DirectoryLocations
2500 Blue Ridge Rd
Ste 219
Raleigh, NC 27607
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Mailing address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3298
Other practice location 1
850 S Main St
Holly Springs, NC 27540-8906
Phone (919) 784-3298
Other names 1
NPPES NPI Registry- Rex Palliative Care Specialists
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2025.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1972807352",
"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": "919-784-3298"
},
{
"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": "919-784-3298"
}
],
"practiceLocations": [
{
"address_1": "850 S Main St",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275408906",
"country_code": "US",
"telephone_number": "919-784-3298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REX HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "JAYOUSSI",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "VP FINANCE COMMUNITY PHYSICIANS",
"authorized_official_telephone_number": "440-476-1713"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 Palliative Care Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rex Palliative Care Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.