Organization Active NPI

A and G Aesthetics PLLC

Doing business as Metro Vein Centers

  • Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1194918789
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
A AND G AESTHETICS PLLC
Doing business as
Metro Vein Centers
Practice address
7125 Orchard Lake Rd
Suite 120
West Bloomfield, MI 48322-3615
Phone
(248) 855-5355
Fax
(248) 855-5455
NPI assigned
Aug 27, 2007
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Matt Kirk
Title
Chief Revenue Officer
Phone
(708) 710-9931

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary
Vascular Surgery Physician 2086S0129X
General Practice Physician 208D00000X

Addresses

Primary practice location

7125 Orchard Lake Rd
Suite 120
West Bloomfield, MI 48322-3615

Mailing address

7125 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-3627
Phone (866) 607-2308

Other names 1

  • Metro Vein Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000308 MI Part B Supplier - Clinic/Group Practice 8022101740 Receives reassigned benefits from 8 practitioners
Practice locations: West Bloomfield, MI; Saint Clair Shores, MI; Royal Oak, MI; Rochester Hills, MI; Macomb, MI; Grand Rapids, MI; Dearborn, MI; Plymouth, MI

National Provider Directory

National Provider Directory

Locations

3200 Greenfield Rd
Ste 110
Dearborn, MI 48120

630 Kenmoor Ave SE
Ste 105
Grand Rapids, MI 49546
Phone (616) 204-5698

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 111
Macomb, MI 48044
Phone (586) 286-9200

46591 Romeo Plank Rd
Ste 111B
Macomb, MI 48044
Phone (586) 684-1754

9392 N Lilley Rd
Plymouth, MI 48170

9392 N Lilley Rd
Plymouth, MI 48170

9392 N Lilley Rd
Plymouth
Plymouth, MI 48170

25631 Little Mack Ave
Ste 204
Saint Clair Shores, MI 48081
Phone (586) 445-5974

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1194918789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223627",
            "telephone_number": "866-607-2308",
            "fax_number": "248-855-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "SUITE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223615",
            "telephone_number": "248-855-5355",
            "fax_number": "248-855-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A AND G AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "708-710-9931"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.