Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin P Aleckson

Individual provider Physician Assistant · NPI 1336896174

Benjamin P Aleckson is a Physician Assistant in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Mountainstar Specialty Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022

Practice location Address checks out

1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275
Phone: (801) 261-7479
Fax: (801) 261-7429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12859980-1206 (UT)

Record details

NPI number1336896174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address2950 N Church St Ste 301, Layton, UT 84040-6590

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mountainstar Specialty Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salt Lake City