CLEANSLATE MEDICAL GROUP OF INDIANA LLC
NPI 1023464294
Internal Medicine - Addiction Medicine in Alexandria, IN
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 Paul Rogers Anderson, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cleanslate Medical Group Of Indiana Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
113Medicare enrollment records show 113 clinicians reassign Medicare billing to Cleanslate Medical Group Of Indiana LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 113Source: 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 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.
Is Cleanslate Medical Group Of Indiana LLC enrolled in Medicare?
Yes. Cleanslate Medical Group Of Indiana LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleanslate Medical Group Of Indiana LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 10 Medicare specialties reassign their Medicare billing to Cleanslate Medical Group Of Indiana LLC. 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. The largest specialties are Nurse Practitioner (86), Clinical Social Worker (8) and Mental Health Counselor (5). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cleanslate Medical Group Of Indiana LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Cleanslate Medical Group Of Indiana Llc · NPI 1023464294
Addiction Medicine organization in Alexandria, Indiana. Organization record, active in the CMS NPPES registry since May 6, 2016.
## Identity
- **NPI:** 1023464294 (Entity type: Organization)
- **Enumerated:** May 6, 2016
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **Organization subpart:** No
- **Authorized official:** Paul Anderson, VICE PRESIDENT
## Practice location
- **Address:** 101 N HARRISON ST, Alexandria, IN 46001-2017
- **Phone:** (765) 233-0903 · **Fax:** (833) 279-7074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 113 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Clinical Social Worker (8), Mental Health Counselor (5); 1 practice at this address; [full list](https://npiprofile.com/npi/1023464294/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023464294) · Data from the CMS NPPES public registry.