MS. THERESA INTEGRAL DY DJAMA DPM
NPI 1265828818
Podiatrist in Bridgeport, CT

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
64 BLACK ROCK AVE, BRIDGEPORT, CT 06605(203) 278-3210 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Theresa Integral Dy Djama Dpm NPPES

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

MS. THERESA INTEGRAL DY DJAMA DPM (NPI 1265828818) is an individual podiatrist in Bridgeport, Connecticut, licensed in Connecticut (1073) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1265828818
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMS. THERESA INTEGRAL DY DJAMACredential: DPM
Location Address64 BLACK ROCK AVEBridgeport, CT 06605-1200
Mailing Address64 Black Rock AveBridgeport, CT 06605-1200 · (203) 579-5000
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateJuly 23, 2019
✔ NPI 1265828818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CT · 1073
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
64 BLACK ROCK AVE, Bridgeport, CT 06605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Theresa Integral Dy Djama Dpm 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 ID1557607488
PECOS Enrollment IDI20190910001164
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Theresa Djama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
82 GEORGE ST
Bridgeport, CT 06604
  • Reassigned Medicare billing, Connecticut enrollment
  • 132 clinicians in this Medicare group
General Practice
55 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers14 claims28 services$61.35 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers11 claims54 services$25.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Internal Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Family Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Advanced Practice Midwife
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605

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 Theresa Djama's NPI number?

The NPI number for Theresa Djama is 1265828818. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Theresa Djama located?

Theresa Djama practices at 64 Black Rock Ave, Bridgeport, CT 06605. The listed phone number is (203) 278-3210.

What is Theresa Djama's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Theresa Djama enrolled in Medicare?

Yes. Theresa Djama 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.

Which organizations bill Medicare for Theresa Djama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Djama reassigns Medicare benefits to 2 organizations: Optimus Health Care Inc (Bridgeport, CT) and Pedirite Medical Ct PLLC (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Djama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Djama was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.