Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACKENZIE ROOF
NPI 1427638667
Orthopaedic Surgery in Salt Lake City, UT

Active since April 12, 2021PECOS Enrolled
590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108(801) 587-5457 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, May 20, 2026, Apr 12, 2021 (3 updates tracked since 2021).

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, maintains a secondary practice location in New York, and is a graduate of New York University School Of Medicine (2021).

NPPES Registry Identity

NPI1427638667
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameMACKENZIE ROOF
Location Address590 S WAKARA WAY RM A0058Salt Lake City, UT 84108-1200
Mailing Address590 S Wakara Way Rm A0058Salt Lake City, UT 84108-1200 · (801) 587-5457
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
NPI 1427638667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in UT · 14280148-1205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108

Secondary Practice Location 1

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-5506

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mackenzie Roof is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123592102
PECOS Enrollment IDI20260630004141
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.

Physician 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery (Hand Surgery)
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery (Hand Surgery)
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
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 enrollment system.

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 22 days 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.