Cleanslate Medical Group of Kentucky PLLC
NPI 1538600630ActiveOrganization· Internal Medicine, Addiction Medicine· Louisville, KY
Internal Medicine, Addiction Medicine in Louisville, Kentucky, registered in NPPES in March 2017. The authorized official on file is Paul Rogers Anderson, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538600630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2017 |
| Last updated in NPPES | Aug 26, 2026 |
| Certified by provider | Aug 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Addiction Medicine Primary | 207RA0401X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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