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CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
NPI 1538600630
Internal Medicine - Addiction Medicine in Louisville, KY

Active since March 09, 2017
6801 DIXIE HWY STE 132, LOUISVILLE, KY 40258(502) 657-2701(833) 279-7074 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, May 8, 2025, Jul 3, 2024 and 2 more (5 updates tracked since 2019).

About Cleanslate Medical Group Of Kentucky Pllc NPPES

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

CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC (NPI 1538600630) is a healthcare organization registered as an addiction medicine in Louisville, Kentucky and active in the NPI registry since March 2017. The organization lists Matthew Philip Smolarek, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538600630
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameCLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
Location Address6801 DIXIE HWY STE 132Louisville, KY 40258-3952
Mailing Address8 Cadillac Dr Ste 300Brentwood, TN 37027-5337 · (154) 250-0220 · Fax (833) 279-7074
Phone(502) 657-2701
Fax(833) 279-7074
Organization SubpartNo
Authorized OfficialMatthew Philip SmolarekCfo · (412) 999-5188
Enumeration DateMarch 9, 2017
Last NPPES UpdateDecember 17, 20255 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1538600630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6801 DIXIE HWY STE 132, Louisville, KY 40258
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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 Home State Health, 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.

BRENDA JOHNSTON APRN
Nurse Practitioner (Family)
6801 DIXIE HWY STE 132
LOUISVILLE, KY 40258
Jefferson County (502) 657-2701
MARY MAIIO BOLGAN
Social Worker (Clinical)
6801 DIXIE HWY STE 132
LOUISVILLE, KY 40258
Jefferson County (502) 657-2701

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 Kentucky PLLC's NPI number?

The NPI number for Cleanslate Medical Group Of Kentucky PLLC is 1538600630. It was assigned to this organization in the NPPES registry on March 9, 2017.

Where is Cleanslate Medical Group Of Kentucky PLLC located?

Cleanslate Medical Group Of Kentucky PLLC is located at 6801 Dixie Hwy Ste 132, Louisville, KY 40258. The listed phone number is (502) 657-2701.

What is Cleanslate Medical Group Of Kentucky PLLC'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 Kentucky PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Cleanslate Medical Group Of Kentucky 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 Kentucky PLLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.