Active NPI
Oleksiy M Levantsevych, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Pontiac, MI
National Provider Identifier
1346818820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 4301510607
- Practice address
- 44428 Woodward Ave
Ste 102
Pontiac, MI 48341 - Phone
- (734) 712-8700
- NPI assigned
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 4301510607 | MI | Primary |
Addresses
Primary practice location
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Mailing address
24 Frank Lloyd Wright Drive
Ste J2000
Ann Arbor, MI 48105
Phone (734) 747-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721002164 | MI | Order and Referring Only - Addiction Medicine | 1557877206 |
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
PO Box
Suite 778964
Chicago, IL 60677-0853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351048705 | MI | MD | Psychiatry Physician |
Interoperability endpoints
- olevantsevych4406429@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1346818820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44428 WOODWARD AVE",
"address_2": "STE 102",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "734-712-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVANTSEVYCH",
"first_name": "OLEKSIY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MI",
"license": "4301510607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.