Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark J Janicki, MD, FAAN

Individual provider Neurology Physician · NPI 1588661409

Dr. Mark J Janicki, MD, FAAN is a Neurology in Lebanon, Indiana. Graduated from Indiana University School of Medicine in 1982, 44 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
44
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2705 N Lebanon St Ste 265
Lebanon, IN 46052-8621
Phone: (765) 485-8830
Fax: (765) 485-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01032550A (IN)

Record details

NPI number1588661409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FAAN
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount