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

Altus Direct, LLC

Organization Family Medicine Physician · NPI 1750829230

Altus Direct, LLC is a Family Medicine Physician in Greenwood, Indiana. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

701 E County Line Rd Ste 210
Greenwood, IN 46143-1072
Phone: (317) 300-7424
Fax: (317) 360-7976
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1750829230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Rajanahalli — Tin Owner · (317) 300-7424
Other names Supro Direct; Supro Direct
NPI enumeratedFebruary 6, 2017
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address701 E County Line Rd, Suite 210, Greenwood, IN 46143-1072

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