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DR. DOUGLAS ALLEN PRAGER M.D.
NPI 1780666099
Internal Medicine in Lake Winnebago, MO

Active since November 14, 2005
374 SOUTHSHORE DR, LAKE WINNEBAGO, MO 64034(808) 679-7672(913) 442-9023 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 26, 2026, May 22, 2026 and 2 more (5 updates tracked since 2019).

About Dr. Douglas Allen Prager M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS ALLEN PRAGER M.D. (NPI 1780666099) is an individual internal medicine provider in Lake Winnebago, Missouri, licensed in Missouri (109766) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1780666099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLAS ALLEN PRAGERCredential: M.D.
Location Address374 SOUTHSHORE DRLake Winnebago, MO 64034-9447
Mailing Address374 Southshore DrLake Winnebago, MO 64034-9447 · (808) 679-7672 · Fax (913) 442-9023
Phone(808) 679-7672
Fax(913) 442-9023
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 4, 20265 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1780666099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 109766
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 6587 (HI)
374 SOUTHSHORE DR, Lake Winnebago, MO 64034
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Other Identifiers 1

Other109766MO · Inactive State Medical License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Prager's NPI number?

The NPI number for Douglas Prager is 1780666099. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Douglas Prager located?

Douglas Prager practices at 374 Southshore Dr, Lake Winnebago, MO 64034. The listed phone number is (808) 679-7672.

What is Douglas Prager's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Douglas Prager was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.