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CENTREVILLE MEDICAL PRACTICE PLLC
NPI 1659675460
Family Medicine in Centreville, VA

Active since January 08, 2011CLIA 49D0221688 · Waiver
5715 CENTRE SQUARE DR, CENTREVILLE, VA 20120(703) 631-5151(703) 631-9754 Get Directions Write a Review

NPPES record last updated: January 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centreville Medical Practice Pllc NPPES

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

CENTREVILLE MEDICAL PRACTICE PLLC (NPI 1659675460) is a healthcare organization registered as a family medicine in Centreville, Virginia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Nasir Ramin, Owner, as its authorized official.

NPPES Registry Identity

NPI1659675460
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTREVILLE MEDICAL PRACTICE PLLC
Location Address5715 CENTRE SQUARE DRCentreville, VA 20120-1916
Mailing Address5715 Centre Square DrCentreville, VA 20120-1916 · (703) 631-5151 · Fax (703) 631-9754
Phone(703) 631-5151
Fax(703) 631-9754
Organization SubpartNo
Authorized OfficialNasir RaminOwner · (703) 631-5151
Enumeration DateJanuary 8, 2011
✔ NPI 1659675460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101248485
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5715 CENTRE SQUARE DR, Centreville, VA 20120
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Other Identifiers 1

Other1144388794Npi Of Dr. Nasir Ramin

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0221688

Centreville Medical Practice · Centreville, VA
Active · expires Dec 22, 2027
CLIA Number49D0221688
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorNasir Ramin
Laboratory Phone(703) 631-5151
Laboratory LocationCentreville Medical Practice14631 Lee Highway, Suite 310, Centreville, VA 20121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NASIR RAMIN M.D.
Family Medicine
5715 CENTRE SQUARE DR
CENTREVILLE, VA 20120
Fairfax County (703) 631-5151
DONALD RICHARD RHODES M.D.
Family Medicine
5715 CENTRE SQUARE DR
CENTREVILLE, VA 20120
Fairfax County (703) 631-5151
CENTREVILLE-CHANTILLY FAMILY PRACTICE
Family Medicine
5715 CENTRE SQUARE DR
CENTREVILLE, VA 20120
Fairfax County (703) 631-5151

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 Centreville Medical Practice PLLC's NPI number?

The NPI number for Centreville Medical Practice PLLC is 1659675460. It was assigned to this organization in the NPPES registry on January 8, 2011.

Where is Centreville Medical Practice PLLC located?

Centreville Medical Practice PLLC is located at 5715 Centre Square Dr, Centreville, VA 20120. The listed phone number is (703) 631-5151.

What is Centreville Medical Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Centreville Medical Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0221688) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centreville Medical Practice PLLC was last updated on January 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.