DR. CAMILLE BOUSTANI MD
NPI 1548720303
Internal Medicine - Gastroenterology in Clinton, MD

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
7501 SURRATTS RD STE 203, CLINTON, MD 20735(301) 868-8000 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Camille Boustani Md NPPES

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

DR. CAMILLE BOUSTANI MD (NPI 1548720303) is an individual gastroenterology provider in Clinton, Maryland, licensed in Maryland (D0103867) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1548720303
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CAMILLE BOUSTANICredential: MD
Location Address7501 SURRATTS RD STE 203Clinton, MD 20735-3362
Mailing Address7501 Surratts Rd Ste 203Clinton, MD 20735-3362
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1548720303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D0103867
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License D0103867 (MD)
7501 SURRATTS RD STE 203, Clinton, MD 20735

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Camille Boustani Md 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.

PECOS PAC ID3274015243
PECOS Enrollment IDI20260307000166, I20260307000222
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Camille Boustani's NPI number?

The NPI number for Camille Boustani is 1548720303. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Camille Boustani located?

Camille Boustani practices at 7501 Surratts Rd Ste 203, Clinton, MD 20735. The listed phone number is (301) 868-8000.

What is Camille Boustani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Camille Boustani enrolled in Medicare?

Yes. Camille Boustani 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.

Is Camille Boustani affiliated with any hospitals?

According to CMS data, Camille Boustani is affiliated with Calverthealth Medical Center and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Camille Boustani was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.