NPIMap

Organization Active NPI

MVC CT

Doing business as Metro Vein Centers

  • Surgery Physician
  • Stamford, CT
National Provider Identifier
1487397600
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MVC CT
Doing business as
Metro Vein Centers
Practice address
2001 W Main St Ste 225
Stamford, CT 06902-4542
Phone
(866) 607-2308
NPI assigned
Apr 15, 2022
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2001 W Main St Ste 225
Stamford, CT 06902-4542

Mailing address

2001 W Main St Ste 225
Stamford, CT 06902-4542
Phone (248) 847-4925

Other practice location 1

1952 Whitney Ave Ste 302
Hamden, CT 06517-1209
Phone (866) 607-2308

Other practice location 2

95 Glastonbury Blvd Ste 202
Glastonbury, CT 06033-4456
Phone (866) 607-2308

Other practice location 3

55 Walls Dr Ste 405
Fairfield, CT 06824-5163
Phone (866) 607-2308

Other practice location 4

40 Dale Rd Ste 201
Avon, CT 06001-3692
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 CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202000986 CT Part B Supplier - Clinic/Group Practice 3274905104 Receives reassigned benefits from 5 practitioners
Practice locations: Avon, CT; Fairfield, CT; Glastonbury, CT; Hamden, CT; Stamford, CT; Waterbury, CT

National Provider Directory

National Provider Directory

Locations

1952 Whitney Ave
Ste 302
Hamden, CT 06517

2001 W Main St
Ste 225
Stamford, CT 06902

1389 W Main St
Ste 102
Waterbury, CT 06708

4710 Austell Pl
Ste 305
Long Island City, NY 11101

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1487397600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST STE 225",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024542",
            "telephone_number": "248-847-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST STE 225",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024542",
            "telephone_number": "866-607-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 Whitney Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065171209",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Glastonbury Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334456",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Walls Dr Ste 405",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245163",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "fax_number": "248-855-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Dale Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013692",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MVC CT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

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.