Individual provider Active NPI

Conner Holthaus, MD

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1851929145
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82964 Issued in MN
Practice address
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone
(651) 241-8755
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82964 MN Primary
Emergency Medicine Physician 207P00000X 04-47957 KS
Emergency Medicine Physician 207P00000X 87955 WI
Emergency Medicine Physician 207P00000X 2022045946 MO

Addresses

Primary practice location

333 Smith Ave N
Saint Paul, MN 55102-2344

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Other practice location 1

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 404-1261

Other practice location 2

2250 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-3850

Other practice location 3

201 NW RD Mize Road
Blue Springs, MO 64014
Phone (816) 548-2600

Other practice location 4

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6150

Other practice location 5

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908001161 MO Practitioner - Emergency Medicine 1557784634 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western Michigan Un Homer Stryker School of Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Emergency Medicine LLCGroup PAC ID 3971037565, 18 clinicians
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 228-5900

19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-47957KSMDEmergency Medicine Physician
2022045946MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Emergency Medicine LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
University Health Physicians Emergency Medicine CurrentSince Oct 16, 2023 Accepting new patients
Missouri Emergency Medicine LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2301 Holmes St
Kansas City, MO 64108

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1851929145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022344",
            "telephone_number": "651-241-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Nininger Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331056",
            "country_code": "US",
            "telephone_number": "651-404-1261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 NW 26th St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550605503",
            "country_code": "US",
            "telephone_number": "507-451-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 NW RD Mize Road",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "64014",
            "country_code": "US",
            "telephone_number": "816-548-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1629 E Division St",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "540221571",
            "country_code": "US",
            "telephone_number": "715-307-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Bergslien St",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "WI",
            "postal_code": "540022600",
            "country_code": "US",
            "telephone_number": "715-684-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "CONNER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "82964",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-47957",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "87955",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022045946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.