DR. MICHAEL DAVID HOLTH M.D.
NPI 1104067016
Internal Medicine in Saint Paul, MN

Active since March 23, 2009PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael David Holth M.d. NPPES

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

DR. MICHAEL DAVID HOLTH M.D. (NPI 1104067016) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (53706) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104067016
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL DAVID HOLTHCredential: M.D.
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave, Ms 21110qMinneapolis, MN 55425-4516 · (651) 254-3456 · Fax (651) 254-9673
Fax(651) 254-9673
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2008
Enumeration DateMarch 23, 2009
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
NPI 1104067016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 53706
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.
640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Locations 2

Location 16036 11th Ave SMinneapolis, MN 55417-3206 · Phone (612) 702-2590
Location 22925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 863-4000 · Fax (763) 236-3026

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael David Holth M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022272285
PECOS Enrollment IDI20120619000661
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services151 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Michael Holth's NPI number?

The NPI number for Michael Holth is 1104067016. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Michael Holth located?

Michael Holth practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Michael Holth's specialty?

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

Is Michael Holth enrolled in Medicare?

Yes. Michael Holth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Holth accept?

Health plans from Medica list Michael Holth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Holth affiliated with any hospitals?

According to CMS data, Michael Holth is affiliated with North Memorial Health Hospital, Cambridge Medical Center, Ridgeview Medical Center, Abbott Northwestern Hospital and Buffalo Hospital.

When was this NPI record last updated?

The NPPES record for Michael Holth was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.