WASATCH SURGICAL LLC
NPI 1053201525
Surgery in Bountiful, UT

Q: What is Wasatch Surgical LLC's NPI number?

The NPI number for Wasatch Surgical LLC is 1053201525. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Mackenzie Goodwin MD.

Q: What is Wasatch Surgical LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 07, 2025

520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010(228) 273-9021 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wasatch Surgical Llc NPPES

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

WASATCH SURGICAL LLC (NPI 1053201525), doing business as Mackenzie Goodwin Md, is a healthcare organization registered as a surgery in Bountiful, Utah and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Draper and lists Mackenzie Lee Goodwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1053201525

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWASATCH SURGICAL LLC

Location Address520 MEDICAL DR STE 300Bountiful, UT 84010-8925

Mailing Address1893 E Millbrook RdSalt Lake City, UT 84106-3827 · (228) 273-9021

Phone(228) 273-9021

Organization SubpartNo

Authorized OfficialMackenzie Lee GoodwinOwner · (228) 273-9021

Enumeration DateJuly 7, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1053201525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

520 MEDICAL DR STE 300, Bountiful, UT 84010

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Other Names 1

Doing Business AsMackenzie Goodwin Md

Secondary Practice Location 1

Location 174 Kimballs Lane, Bldg 2, Suite 260Draper, UT 84020 · Phone (228) 273-9021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wasatch Surgical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wasatch Surgical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mackenzie Goodwin, M.D

General Surgery

NPI 1942569231

MACKENZIE GOODWIN MD DBA WASATCH SURGICAL LLC 520 MEDICAL DR STE 300
Bountiful, UT 84010

(228) 273-9021

✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wasatch Surgical LLC's NPI number?

The NPI number for Wasatch Surgical LLC is 1053201525. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Mackenzie Goodwin MD.

Where is Wasatch Surgical LLC located?

Wasatch Surgical LLC is located at 520 Medical Dr Ste 300, Bountiful, UT 84010. The listed phone number is (228) 273-9021.

What is Wasatch Surgical LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wasatch Surgical LLC enrolled in Medicare?

Yes. Wasatch Surgical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wasatch Surgical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Wasatch Surgical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wasatch Surgical LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Wasatch Surgical LLC 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.

When was this NPI record last updated?

The NPPES record for Wasatch Surgical LLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.