MACKENZIE ROOF
NPI 1427638667
Orthopaedic Surgery in Salt Lake City, UT
About Mackenzie Roof NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE ROOF (NPI 1427638667) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (14280148-1205) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Roof 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.
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Roof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
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 Mackenzie Roof's NPI number?
The NPI number for Mackenzie Roof is 1427638667. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Mackenzie Roof located?
Mackenzie Roof practices at 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108. The listed phone number is (801) 587-5457.
What is Mackenzie Roof's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Mackenzie Roof enrolled in Medicare?
Yes. Mackenzie Roof 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.
Which organization bills Medicare for Mackenzie Roof's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Roof reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Mackenzie Roof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Roof accept?
Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Mackenzie Roof 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 Mackenzie Roof affiliated with any hospitals?
According to CMS data, Mackenzie Roof is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Mackenzie Roof was last updated on August 26, 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.
# Mackenzie Roof · NPI 1427638667
Orthopaedic Surgery physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1427638667 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 14280148-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108-1200
- **Phone:** (801) 587-5457
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1487000287, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1427638667) · Data from the CMS NPPES public registry.