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CLEANSLATE MEDICAL GROUP OF INDIANA LLC
NPI 1023464294
Internal Medicine - Addiction Medicine in Alexandria, IN

Active since May 06, 2016
101 N HARRISON ST, ALEXANDRIA, IN 46001(765) 233-0903(833) 279-7074 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, May 8, 2025, Jul 3, 2024 and 3 more (6 updates tracked since 2019).

About Cleanslate Medical Group Of Indiana Llc NPPES

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

CLEANSLATE MEDICAL GROUP OF INDIANA LLC (NPI 1023464294) is a healthcare organization registered as an addiction medicine in Alexandria, Indiana and active in the NPI registry since May 2016. The organization lists Matthew Philip Smolarek, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023464294
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameCLEANSLATE MEDICAL GROUP OF INDIANA LLC
Location Address101 N HARRISON STAlexandria, IN 46001-2017
Mailing Address8 Cadillac Dr Ste 300Brentwood, TN 37027-5337 · (615) 425-0220 · Fax (833) 279-7074
Phone(765) 233-0903
Fax(833) 279-7074
Organization SubpartNo
Authorized OfficialMatthew Philip SmolarekCfo · (412) 999-5188
Enumeration DateMay 6, 2016
Last NPPES UpdateDecember 17, 20256 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1023464294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X
101 N HARRISON ST, Alexandria, IN 46001
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. CLAUDIE H. JIMENEZ M.D.
Preventive Medicine (Addiction Medicine)
101 N HARRISON ST
ALEXANDRIA, IN 46001
Madison County (765) 233-0903
MERIDIAN HEALTH SERVICES CORP
Clinic/Center (Federally Qualified Health Center (FQHC))
101 N HARRISON ST
ALEXANDRIA, IN 46001
Madison County (765) 288-1928

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 Cleanslate Medical Group Of Indiana LLC's NPI number?

The NPI number for Cleanslate Medical Group Of Indiana LLC is 1023464294. It was assigned to this organization in the NPPES registry on May 6, 2016.

Where is Cleanslate Medical Group Of Indiana LLC located?

Cleanslate Medical Group Of Indiana LLC is located at 101 N Harrison St, Alexandria, IN 46001. The listed phone number is (765) 233-0903.

What is Cleanslate Medical Group Of Indiana LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Cleanslate Medical Group Of Indiana LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Cleanslate Medical Group Of Indiana LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleanslate Medical Group Of Indiana LLC was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.