CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC
NPI 1538600630
Internal Medicine - Addiction Medicine in Louisville, KY
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 Paul Rogers Anderson, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Kentucky Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Cleanslate Medical Group Of Kentucky PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 27Source: 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 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.
Is Cleanslate Medical Group Of Kentucky PLLC enrolled in Medicare?
Yes. Cleanslate Medical Group Of Kentucky PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleanslate Medical Group Of Kentucky PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 7 Medicare specialties reassign their Medicare billing to Cleanslate Medical Group Of Kentucky PLLC. 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 (15), Mental Health Counselor (5) and Clinical Social Worker (2). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cleanslate Medical Group Of Kentucky PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cleanslate Medical Group Of Kentucky Pllc · NPI 1538600630
Addiction Medicine organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since March 9, 2017.
## Identity
- **NPI:** 1538600630 (Entity type: Organization)
- **Enumerated:** March 9, 2017
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **Organization subpart:** No
- **Authorized official:** Paul Anderson, VICE PRESIDENT
## Practice location
- **Address:** 6801 DIXIE HWY STE 132, Louisville, KY 40258-3952
- **Phone:** (502) 657-2701 · **Fax:** (833) 279-7074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Mental Health Counselor (5), Clinical Social Worker (2); 1 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1538600630/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/1538600630) · Data from the CMS NPPES public registry.