Douglas Allen Prager, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

109766 Issued in MO

Practice address

374 Southshore Dr
Lake Winnebago, MO 64034-9447

Phone

(808) 679-7672

Fax

(913) 442-9023

NPI assigned

Nov 14, 2005

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Honolulu Imaging Center, LLC

  dba InVision Imaging

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1164094108
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1780666099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SOUTHSHORE DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349447",
            "telephone_number": "808-679-7672",
            "fax_number": "913-442-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 SOUTHSHORE DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349447",
            "telephone_number": "808-679-7672",
            "fax_number": "913-442-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "109766",
            "primary": true
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "HI",
            "license": "6587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INACTIVE STATE MEDICAL LICENSE",
            "identifier": "109766",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affordable Incontinence
• Megan Bechtold, DPT
• Jessica Fitzgerald, M.S., CCC-SLP
• Full Range Mobile PT, LLC
• Shelly D Keller, LCSW
• Jennifer Shoemaker, RN

• Internal Medicine Physician in Lake Winnebago, MO
• Providers in Lake Winnebago, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.