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CRYSTAL RUN MEDICAL SERVICES PC
NPI 1104921139
Internal Medicine in Middletown, NY

Active since September 14, 2006
236 CRYSTAL RUN RD, SUITE 2, MIDDLETOWN, NY 10941(845) 692-3100(845) 692-2402 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crystal Run Medical Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL RUN MEDICAL SERVICES PC (NPI 1104921139) is a healthcare organization registered as an internal medicine in Middletown, New York and active in the NPI registry since September 2006. The organization lists Raymond S Basri, Owner, as its authorized official.

NPPES Registry Identity

NPI1104921139
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRYSTAL RUN MEDICAL SERVICES PC
Location Address236 CRYSTAL RUN RD, SUITE 2Middletown, NY 10941-4009
Mailing Address236 Crystal Run Rd, Suite 2Middletown, NY 10941-4009 · (845) 692-3100 · Fax (845) 692-2402
Phone(845) 692-3100
Fax(845) 692-2402
Organization SubpartNo
Authorized OfficialRaymond S BasriOwner · (845) 692-3100
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104921139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
236 CRYSTAL RUN RD, Middletown, NY 10941
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Run Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crystal Run Medical Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Raymond Basri, MD
Internal Medicine
NPI 1659350163
236 CRYSTAL RUN RD SUITE 2
Middletown, NY 10941
(845) 692-3100
✔ PECOS✔ Accepts MedicareSame address
John Podeszwa, M.D
Gastroenterology
NPI 1841291697
111 MALTESE DR
Middletown, NY 10940
(845) 342-4774
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Run Medical Services PC's NPI number?

The NPI number for Crystal Run Medical Services PC is 1104921139. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Crystal Run Medical Services PC located?

Crystal Run Medical Services PC is located at 236 Crystal Run Rd Suite 2, Middletown, NY 10941. The listed phone number is (845) 692-3100.

What is Crystal Run Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Crystal Run Medical Services PC enrolled in Medicare?

Yes. Crystal Run Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Run Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crystal Run Medical Services PC, in Gastroenterology and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Run Medical Services PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.