CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
NPI 1245865096
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Cleanslate Medical Group Of Arizona Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC (NPI 1245865096), doing business as Cleanslate Centers- West Thomas Phoenix, Az, is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since March 2020. The organization lists Paul Rogers Anderson, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Cleanslate Medical Group Of Arizona PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: 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 Arizona PLLC's NPI number?
The NPI number for Cleanslate Medical Group Of Arizona PLLC is 1245865096. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as CleanSlate Centers- West Thomas Phoenix, AZ.
Where is Cleanslate Medical Group Of Arizona PLLC located?
Cleanslate Medical Group Of Arizona PLLC is located at 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037. The listed phone number is (480) 417-5289.
What is Cleanslate Medical Group Of Arizona PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Cleanslate Medical Group Of Arizona PLLC enrolled in Medicare?
Yes. Cleanslate Medical Group Of Arizona PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleanslate Medical Group Of Arizona PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to Cleanslate Medical Group Of Arizona PLLC, in Addiction Medicine, Family Practice, Mental Health Counselor, Nurse Practitioner and Preventive Medicine. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cleanslate Medical Group Of Arizona PLLC accept?
Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Cleanslate Medical Group Of Arizona PLLC 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 Arizona PLLC 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 56 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 Arizona Pllc · NPI 1245865096
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since March 11, 2020.
## Identity
- **NPI:** 1245865096 (Entity type: Organization)
- **Enumerated:** March 11, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** CleanSlate Centers- West Thomas Phoenix, AZ (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Paul Anderson, VICE PRESIDENT
## Practice location
- **Address:** 8410 W THOMAS RD STE 124, Phoenix, AZ 85037-3373
- **Phone:** (480) 417-5289 · **Fax:** (833) 279-7074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Addiction Medicine (2), Mental Health Counselor (2), Nurse Practitioner (2); 1 practice at this address and 3 within 10 miles · 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/1245865096) · Data from the CMS NPPES public registry.