Individual provider Active NPI

Camille Alyssa Bulte-Choudhry, MD

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1255907622
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0104352 Issued in MD
Practice address
810 Bestgate Rd Ste 450
Annapolis, MD 21401-3717
Phone
(410) 384-3045
Fax
(410) 384-3044
NPI assigned
May 27, 2021
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0104352 MD Primary
Procedural Dermatology Physician 207NS0135X D0104352 MD

Addresses

Primary practice location

810 Bestgate Rd Ste 450
Annapolis, MD 21401-3717

Mailing address

810 Bestgate Rd Ste 450
Annapolis, MD 21401-3717
Phone (410) 384-3045

Other names 1

  • Dr. Camille Alyssa Bulte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105002057 MD Practitioner - Dermatology 9537542766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Dermatology and Cosmetic Center LLCGroup PAC ID 2466845466, 4 clinicians

Practice addresses (Care Compare)

810 Bestgate Rd
Suite 450
Annapolis, MD 21401-3648
Phone (410) 384-3045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions97
Skin biopsy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0104352MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Current Dermatology and Cosmetic Center LLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Current Dermatology and Cosmetic Center of Baltimore County, LLC Dermatology PastSince Jul 22, 2025 Accepting new patients

Locations

810 Bestgate Rd
Ste 450
Annapolis, MD 21401
Phone (410) 384-3045

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00062

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1255907622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013717",
            "telephone_number": "410-384-3045",
            "fax_number": "410-384-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013717",
            "telephone_number": "410-384-3045",
            "fax_number": "410-384-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTE-CHOUDHRY",
        "first_name": "CAMILLE",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0104352",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0104352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "BULTE",
            "middle_name": "ALYSSA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.