NPIMap

Organization Active NPI

MVC PA PLLC

  • Surgery Physician
  • Trevose, PA
National Provider Identifier
1669930798
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MVC PA PLLC
Practice address
6 Interplex Dr Ste 113
Trevose, PA 19053-6942
Phone
(866) 607-2308
NPI assigned
Mar 7, 2019
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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6 Interplex Dr Ste 113
Trevose, PA 19053-6942

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 PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520002897 PA Part B Supplier - Clinic/Group Practice 2567705213 Receives reassigned benefits from 2 practitioners
Practice locations: Trevose, PA

National Provider Directory

National Provider Directory

Locations

44720 Hayes Rd
Ste 200
Clinton Township, MI 48038

44720 Hayes Rd
Clinton Township, MI 48038

3200 Greenfield Rd
Ste 110
Dearborn, MI 48120

441 S Livernois Rd
Ste 260
Rochester Hills, MI 48307
Phone (248) 601-4240

34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308

4262 Old William Penn Hwy
Ste 209
Murrysville, PA 15668

6 Neshaminy Interplex Dr
Ste 113
Trevose, PA 19053
Phone (215) 245-1260

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1669930798",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 INTERPLEX DR STE 113",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "866-607-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVC PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "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 Trevose, PA

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.