Cleanslate Medical Group of Pennsylvania LLC
NPI 1184177263 · Multi-Specialty Clinic/Center · Wilkes Barre, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cleanslate Medical Group of Pennsylvania LLC is a Multi-Specialty Clinic/Center organization in Wilkes Barre, PA (NPI 1184177263).
Provider details
- NPI number
- 1184177263
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Smolarek, Cfo(412) 999-5188
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Cleanslate Medical Group of Pennsylvania LLC's NPI number?
- Cleanslate Medical Group of Pennsylvania LLC's National Provider Identifier (NPI) is 1184177263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cleanslate Medical Group of Pennsylvania LLC?
- Cleanslate Medical Group of Pennsylvania LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cleanslate Medical Group of Pennsylvania LLC located?
- Cleanslate Medical Group of Pennsylvania LLC's practice location on file with NPPES is 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240.
- What is Cleanslate Medical Group of Pennsylvania LLC's phone number?
- The practice phone number listed in the NPPES registry for Cleanslate Medical Group of Pennsylvania LLC is (413) 584-2173.
- Does Cleanslate Medical Group of Pennsylvania LLC accept Medicare?
- Cleanslate Medical Group of Pennsylvania LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cleanslate Medical Group of Pennsylvania LLC?
- The authorized official listed on Cleanslate Medical Group of Pennsylvania LLC's NPPES record is Matthew Smolarek, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cleanslate Medical Group of Pennsylvania LLC's NPI active?
- Yes — Cleanslate Medical Group of Pennsylvania LLC's NPI (1184177263) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.