Cleanslate Medical Group of Ohio LLC
NPI 1558800193 · Addiction Medicine (Internal Medicine) Physician · Moraine, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cleanslate Medical Group of Ohio LLC is a Addiction Medicine (Internal Medicine) Physician organization in Moraine, OH (NPI 1558800193).
Provider details
- NPI number
- 1558800193
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Smolarek, Cfo(412) 999-5188
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-02-15
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Cleanslate Medical Group of Ohio LLC's NPI number?
- Cleanslate Medical Group of Ohio LLC's National Provider Identifier (NPI) is 1558800193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cleanslate Medical Group of Ohio LLC?
- Cleanslate Medical Group of Ohio LLC is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Cleanslate Medical Group of Ohio LLC located?
- Cleanslate Medical Group of Ohio LLC's practice location on file with NPPES is 4700 Springboro Pike Ste C, Moraine, OH 45439-1982.
- What is Cleanslate Medical Group of Ohio LLC's phone number?
- The practice phone number listed in the NPPES registry for Cleanslate Medical Group of Ohio LLC is (937) 558-5100.
- Does Cleanslate Medical Group of Ohio LLC accept Medicare?
- Cleanslate Medical Group of Ohio 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 Ohio LLC?
- The authorized official listed on Cleanslate Medical Group of Ohio 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 Ohio LLC's NPI active?
- Yes — Cleanslate Medical Group of Ohio LLC's NPI (1558800193) 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.