Active NPI
Suhas Damodar Agte, M D
- Nephrology Physician
- Lawton, OK
National Provider Identifier
1720036122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 23697
- Practice address
- 5108 W Gore Blvd
Suite 2
Lawton, OK 73505-6025 - Phone
- (580) 357-8330
- NPI assigned
- May 5, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 23697 | OK | Primary |
Addresses
Primary practice location
5108 W Gore Blvd
Suite 2
Lawton, OK 73505-6025
Mailing address
5108 W Gore Blvd
Suite 2
Lawton, OK 73505-6025
Phone (580) 357-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Renal Group PA | Nephrology | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Diagnostic Associates of North Texas PA | Past | Accepting new patients | |
| Lawton Nephrology | Nephrology | Past | Accepting new patients |
Locations
4417 W Gore Blvd
Ste B3
Lawton, OK 73505
Phone (972) 274-5555
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEHCAD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Lawton, OK
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- NPI 1093763781
-
- Nephrology Physician
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- NPI 1740215235
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1689600322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720036122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 W GORE BLVD",
"address_2": "SUITE 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056025",
"telephone_number": "580-357-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 W GORE BLVD",
"address_2": "SUITE 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056025",
"telephone_number": "580-357-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGTE",
"first_name": "SUHAS",
"middle_name": "DAMODAR",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OK",
"license": "23697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.