Individual provider Active NPI

Raymond S Basri, MD

  • Internal Medicine Physician
  • Middletown, NY
National Provider Identifier
1659350163
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160567 Issued in NY
Practice address
236 Crystal Run Rd
Suite 2
Middletown, NY 10941-4009
Phone
(845) 692-3100
Fax
(845) 692-2402
NPI assigned
Jan 12, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160567 NY Primary

Addresses

Primary practice location

236 Crystal Run Rd
Suite 2
Middletown, NY 10941-4009

Mailing address

236 Crystal Run Rd
Suite 2
Middletown, NY 10941-4009
Phone (845) 692-3100

Other identifiers 1

IdentifierTypeStateIssuer
01056651MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000859 NY Practitioner - Internal Medicine 3577530260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 Crystal Run Rd
Suite 2
Middletown, NY 10941-4061
Phone (845) 692-3100

Merit-based Incentive Payment System (MIPS)

Final score
23.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Run Medical Services PC Internal Medicine CurrentSince Jul 1, 1987 Accepting new patients
Hudson Valley Radiology Associates PLLC CurrentSince Mar 1, 2023 Accepting new patients
Rite Medical Care PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

17811 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 729-7282

236 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-2200

236 Crystal Run Rd
Ste 2
Middletown, NY 10941
Phone (845) 692-3100

505 State Route 208
Monroe, NY 10950
Phone (845) 783-3444

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

175 Route 59
Spring Valley, NY 10977
Phone (845) 426-5800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1659350163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CRYSTAL RUN RD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414009",
            "telephone_number": "845-692-3100",
            "fax_number": "845-692-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CRYSTAL RUN RD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414009",
            "telephone_number": "845-692-3100",
            "fax_number": "845-692-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRI",
        "first_name": "RAYMOND",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01056651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.