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CCMA
NPI 1912078619
Internal Medicine in Centreville, VA

Active since November 13, 2006
5895 TRINITY PKWY, SUITE 100, CENTREVILLE, VA 20120(703) 802-2004(703) 802-2113 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ccma NPPES

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

CCMA (NPI 1912078619) is a healthcare organization registered as an internal medicine in Centreville, Virginia and active in the NPI registry since November 2006. The organization lists Malak K Isaac, Medical Doctor /sole Owner, as its authorized official.

NPPES Registry Identity

NPI1912078619
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLIFTON CENTREVILLE MEDICAL ASSOCIATES
Location Address5895 TRINITY PKWY, SUITE 100Centreville, VA 20120-1995
Mailing Address5895 Trinity Pkwy, Suite 100Centreville, VA 20120-1996 · (703) 825-1401 · Fax (703) 802-2113
Phone(703) 802-2004
Fax(703) 802-2113
Organization SubpartNo
Authorized OfficialMalak K IsaacMedical Doctor /sole Owner · (703) 825-1401
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 4, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1912078619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101-049277
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101237688 (VA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0101-049277 (VA)
5895 TRINITY PKWY, Centreville, VA 20120
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Other Names 1

Doing Business AsCcma

Other Identifiers 2

Medicaid006078508VA
OtherVV1662BVA · Medicare Gba

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ccma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ccma, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Malak Isaac, M.D.
Family Practice
NPI 1922130228
5895 TRINITY PKWY STE 100
Centreville, VA 20120
(703) 825-1401
✔ PECOS✔ Accepts MedicareSame address
Alan Levinstone, M.D.
Internal Medicine
NPI 1992709265
5895 TRINITY PKWY SUITE 100
Centreville, VA 20120
(703) 802-2004
✔ PECOSSame address
Mariya Bourget, M.D.
Internal Medicine
NPI 1477870541
14330 GIDEON DR STE B
Woodbridge, VA 22192
(571) 408-6800
✔ PECOS✔ Accepts Medicare16 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 Clifton Centreville Medical Associates's NPI number?

The NPI number for Clifton Centreville Medical Associates is 1912078619. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Ccma.

Where is Clifton Centreville Medical Associates located?

Clifton Centreville Medical Associates is located at 5895 Trinity Pkwy Suite 100, Centreville, VA 20120. The listed phone number is (703) 802-2004.

What is Clifton Centreville Medical Associates's specialty?

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

Is Clifton Centreville Medical Associates enrolled in Medicare?

Yes. Clifton Centreville Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clifton Centreville Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clifton Centreville Medical Associates, in Family Practice 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clifton Centreville Medical Associates was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.