This is a list of regencies and cities in North Sumatra province. As of October 2019, there were 25 regencies and 8 cities.

# Regency/ City Capital Regent/ Mayor Area (km2) Population (2019) District Kelurahan (urban village)/ Desa (village) Logo Location map 1 Asahan Regency Kisaran Surya 3,702.21 782,250 2527/177 2 Batubara Regency Limapuluh Zahir 922.20 365,515 710/141 3 Dairi Regency Sidikalang Eddy Keleng Ate Berutu 1,927.80 315,330 158/161 4 Deli Serdang Regency Lubuk Pakam Ashari Tambunan 2,241.68 1,815,357 2214/380 5 Humbang Hasundutan Regency Dolok Sanggul Dosmar Banjarnahor 2,335.33 199,424 101/153 6 Karo Regency Kabanjahe Terkelin Brahmana 2,127.00 405,162 1710/259 7 Labuhanbatu Regency Rantau Prapat Andi Suhaimi Dalimunthe 2,156.02 501,388 923/75 8 Labuhanbatu Selatan Regency Kota Pinang Wildan Aswan Tanjung 3,596 321,374 52/52 9 Labuhanbatu Utara Regency Aek Kanopan Khairuddin Syah Sitorus 3,570.98 391,729 88/82 10 Langkat Regency Stabat Terbit Rencana Perangin Angin 6,262.00 1,043,249 2337/240 11 Mandailing Natal Regency Panyabungan Dahlan Hasan Nasution 6,134.00 484,787 2327/380 12 Nias Regency Gido Sokhiatulo Laoli 1,842.51 153,417 10-/170 13 Nias Barat Regency Lahomi Faduhusi Daely 473.73 95,330 8-/105 14 Nias Selatan Regency Teluk Dalam Hilarius Duha 1,825.20 364,606 353/457 15 Nias Utara Regency Lotu Marselinus Ingati Nazara 1,202.78 150,387 111/112 16 Padang Lawas Regency Sibuhuan Ali Sutan Harahap 3,892.74 260,406 121/303 17 Padang Lawas Utara Regency Gunung Tua Andar Amin Harahap 3,918.05 266,864 92/386 18 Pakpak Bharat Regency Salak Asren Nasution 1,218.30 53,832 8-/52 19 Samosir Regency Pangururan Rapidin Simbolon 2,069.05 142,812 96/128 20 Serdang Bedagai Regency Sei Rempah Soekirman 1,900.22 656,419 176/237 21 Simalungun Regency Raya Jopinus Ramli Saragih 4,386.60 1,030,832 3127/386 22 Tapanuli Selatan Regency Sipirok Syahrul M Pasaribu 6,030.47 310,274 1436/212 23 Tapanuli Tengah Regency Pandan Bakhtiar Ahmad Sibarani 2,188.00 362,001 2056/159 24 Tapanuli Utara Regency Tarutung Nikson Nababan 3,791.64 315,947 1511/241 25 Toba Regency Balige Darwin Siagian 2,328.89 211,042 1613/231 26 Binjai - Muhammad Idaham 59.19 282,597 537/- 27 Gunungsitoli - Lakhomizaro Zebua 280.78 139,545 63/98 28 Medan - Akhyar Nasution 265.10 2,502,092 21151/- 29 Padangsidempuan - Irsan Efendi Nasution 114.66 225,535 637/42 30 Pematangsiantar - Hefriansyah Noor 55.66 284,628 853/- 31 Sibolga - Syarfi Hutahuruk 41.31 94,376 417/- 32 Tanjungbalai - M Syahrial 107.83 174,829 631/- 33 Tebing Tinggi - Umar Zunaidi Hasibuan 31.00 171,553 535/-

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