Crystal Run Medical Services PC
NPI 1104921139 · Internal Medicine Physician · Middletown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Run Medical Services PC is a Internal Medicine Physician organization in Middletown, NY (NPI 1104921139).
Provider details
- NPI number
- 1104921139
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Basri, Owner(845) 692-3100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Crystal Run Medical Services PC's NPI number?
- Crystal Run Medical Services PC's National Provider Identifier (NPI) is 1104921139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Run Medical Services PC?
- Crystal Run Medical Services PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crystal Run Medical Services PC located?
- Crystal Run Medical Services PC's practice location on file with NPPES is 236 Crystal Run Rd, Middletown, NY 10941-4009.
- What is Crystal Run Medical Services PC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Run Medical Services PC is (845) 692-3100.
- Does Crystal Run Medical Services PC accept Medicare?
- Crystal Run Medical Services PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal Run Medical Services PC?
- The authorized official listed on Crystal Run Medical Services PC's NPPES record is Raymond Basri, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Run Medical Services PC's NPI active?
- Yes — Crystal Run Medical Services PC's NPI (1104921139) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.