McKenzie Kay Azevedo
Individual provider Active NPI Family Medicine Physician · Draper, UT
NPI 1730765504 · NPPES record last updated Apr 10, 2026
Key facts
- NPI
- 1730765504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9428379-4405 (UT)
- Practice address
- 12473 S Minuteman Dr
Draper, UT 84020-7870 - Phone
- (801) 495-7900
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1739 W Sunset Blvd
St George, UT 84770-7141
Phone (435) 624-6000
Hospital & facility affiliations
- Intermountain Health Alta View Hospital
- Intermountain Health Riverton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240216002813 | UT | Practitioner - Family Practice | 9133563273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9428379-4405 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
962 Sage Dr
Cedar City, UT 84720
Phone (435) 865-3440
12473 S Minuteman Dr
Draper, UT 84020
Phone (801) 495-7900
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500
98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273
75 N 2260 W
Hurricane, UT 84737
Phone (435) 635-6400
3249 N 1200 W
Lehi, UT 84043
Phone (801) 234-5880
1750 Sidewinder Dr
Park City, UT 84060
Phone (435) 649-7640
395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770
475 W 940 N
Provo, UT 84604
Phone (801) 357-7909
354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200
819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600
1739 W Sunset Blvd
St George, UT 84770
Phone (435) 634-6000
577 S River Rd
St George, UT 84790
Phone (435) 688-6000
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9428379-4405 | UT | Yes |
Addresses
Primary practice location
12473 S Minuteman Dr
Draper, UT 84020-7870
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2 | Other | Bluemark LLC / Office Ally |
Other providers in Draper, UT
- Marilyn Avelar
- Michele Rena Avila
- Hailey Ayre
- Presley Azarcon
- Jenna Azera
- Hayden Babka
- Isaura Baca
- Natalie Baczuk
- Stephan Badgett
- Jarrod Bagley
All providers in Draper, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.