Individual provider Active NPI

Satkiran S Grewal, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • West Springfield, MA
National Provider Identifier
1356421085
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
226489 Issued in MA
Practice address
900 Memorial Ave
West Springfield, MA 01089-3557
Phone
(413) 788-0100
Fax
(413) 736-1723
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD483977 PA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 0101279518 VA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 61086 KY
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35.151470 OH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 226489 MA Primary

Addresses

Primary practice location

900 Memorial Ave
West Springfield, MA 01089-3557

Mailing address

85 Gillett St Ste 307
Hartford, CT 06105-2630
Phone (860) 461-1151

Other practice location 1

940 N New St Ste 140
Bethlehem, PA 18018-2756
Phone (484) 893-1482

Other practice location 2

6801 Dixie Hwy Ste 132
Louisville, KY 40258-3952
Phone (502) 657-2701

Other practice location 3

4700 Springboro Pike Ste C
Moraine, OH 45439-1982
Phone (937) 558-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, PA, OH, KY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20051115000609 MA Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 3678592060 Reassigns benefits to 1 organization
I20240208004628 VA Practitioner - Addiction MedicinePractitioner - Preventive Medicine 3678592060
I20240306004454 PA Practitioner - Addiction MedicinePractitioner - Preventive Medicine 3678592060 Reassigns benefits to 1 organization
I20240819002417 OH Practitioner - Addiction MedicinePractitioner - Preventive Medicine 3678592060 Reassigns benefits to 1 organization
I20250815001319 KY Practitioner - Addiction Medicine 3678592060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Preventive Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Cleanslate Medical Group of Ohio LLCGroup PAC ID 9537418025, 10 clinicians

Practice addresses (Care Compare)

1659 S Breiel Blvd
Middletown, OH 45044-6705
Phone (833) 505-4673

3654 Werk Rd
Cincinnati, OH 45248-4900
Phone (513) 452-0929

4700 Springboro Pike
Suite C
Moraine, OH 45439-1982
Phone (833) 505-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226489MAMDAddiction Medicine (Preventive Medicine) Physician
0101279518VAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Pennsylvania LLC CurrentSince Feb 1, 2024 Accepting new patients
Total Wellness Centers, LLC CurrentSince Aug 18, 2017 Accepting new patients
Cleanslate Medical Group of Virginia, LLC CurrentSince Nov 20, 2023 Accepting new patients
Total Wellness Centers, LLC CurrentSince Aug 18, 2017 Accepting new patients
Cleanslate Medical Group of Ohio LLC CurrentSince Jul 1, 2024 Accepting new patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince Jul 10, 2025 Accepting new patients

Locations

6801 Dixie Hwy
Ste 132
Louisville, KY 40258
Phone (502) 657-2701

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900

306 Race St
#2
Holyoke, MA 01040
Phone (413) 455-3405

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 664-6111

244 Main St
Northampton, MA 01060

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

3654 Werk Rd
Cincinnati, OH 45248
Phone (513) 451-6001

1659 S Breiel Blvd
Middletown, OH 45044
Phone (513) 424-0921

4700 Springboro Pike
Ste C
Moraine, OH 45439
Phone (937) 558-5100

1416 W 1st St
Springfield, OH 45504
Phone (614) 453-1589

247 S Burnett Rd
Ste 110
Springfield, OH 45505
Phone (937) 328-8220

501 Howard Ave
Ste B204
Altoona, PA 16601
Phone (814) 201-2835

940 N New St
Ste 140
Bethlehem, PA 18018
Phone (484) 893-1482

3380 Memphis St
Philadelphia, PA 19134
Phone (215) 426-5566

1020 W Lackawanna Ave
Scranton, PA 18504
Phone (570) 290-4044

397 N 9th Ave
Scranton, PA 18504
Phone (570) 344-8619

100 N Wilkes Barre Blvd
Ste 103
Wilkes Barre, PA 18702
Phone (570) 846-2720

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

8 Cadillac Dr
Ste 300
Brentwood, TN 37027
Phone (615) 944-0212

1510 N 28th St
Ste 101
Richmond, VA 23223
Phone (804) 371-1670

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1356421085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GILLETT ST STE 307",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052630",
            "telephone_number": "860-461-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEMORIAL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893557",
            "telephone_number": "413-788-0100",
            "fax_number": "413-736-1723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 N New St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180182756",
            "country_code": "US",
            "telephone_number": "484-893-1482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Dixie Hwy Ste 132",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402583952",
            "country_code": "US",
            "telephone_number": "502-657-2701",
            "fax_number": "502-583-6799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Springboro Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391982",
            "country_code": "US",
            "telephone_number": "937-558-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "SATKIRAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD483977",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101279518",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "KY",
            "license": "61086",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.151470",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MA",
            "license": "226489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.