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ANDITA DWI HIDAYATI MD
NPI 1649017534
Radiology - Diagnostic Radiology in San Antonio, TX

Active since July 09, 2024PECOS EnrolledAccepts Medicare Assignment
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 450-9100 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andita Dwi Hidayati Md NPPES

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

ANDITA DWI HIDAYATI MD (NPI 1649017534) is an individual diagnostic radiology provider in San Antonio, Texas, licensed in Texas (BP10087321) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649017534
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameANDITA DWI HIDAYATICredential: MD
Location Address7703 FLOYD CURL DRSan Antonio, TX 78229-3901
Mailing Address145 Chapel Hill CirSan Antonio, TX 78240-3977 · (210) 978-4285
Phone(210) 450-9100
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2024
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1649017534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · BP10087321✔ Licensed in NC · 2026-01179
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7703 FLOYD CURL DR, San Antonio, TX 78229
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2255
Location 21814 Westchester Dr Ste 100High Point, NC 27262-7369 · Phone (336) 802-2397

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

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

Andita Dwi Hidayati 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 ID5395209589
PECOS Enrollment IDI20260709000384
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

3

Medicare enrollment records show Andita Hidayati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest Health Network LLC
1,088 mi
Family Medicine
ONE TRADE STREET
Granite Falls, NC 28630
  • Reassigned Medicare billing, North Carolina enrollment
  • 583 clinicians in this Medicare group
NPI 1770858938 (828) 396-3136
Wake Forest University Health Sciences
1,153 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Wake Forest Baptist Imaging, LLC
1,154 mi
Radiology
265 EXECUTIVE PARK BLVD
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 171 clinicians in this Medicare group
NPI 1972763357 (336) 765-5722

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

Hospital Affiliations CMS Care Compare 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 20

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

DANIEL TRAVIS HART CRNA
Nurse Anesthetist, Certified Registered
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-0811
KENDALL HULK DO
Physical Medicine & Rehabilitation
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000
TATE KICKHOEFER
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (214) 498-9010
DR. JOSEPH DUMBUYA DMD, MPH
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (301) 675-2866
GRACE COOPER MD
Emergency Medicine
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-6400
ALISSA HERRERA MD
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4621
TYLER YOUNG MD
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000
JACOB TERRY
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000

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 Andita Hidayati's NPI number?

The NPI number for Andita Hidayati is 1649017534. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Andita Hidayati located?

Andita Hidayati practices at 7703 Floyd Curl Dr, San Antonio, TX 78229. The listed phone number is (210) 450-9100.

What is Andita Hidayati's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andita Hidayati enrolled in Medicare?

Yes. Andita Hidayati 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 Andita Hidayati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andita Hidayati reassigns Medicare benefits to 3 organizations: Wake Forest Health Network LLC (Granite Falls, NC), Wake Forest University Health Sciences (Lexington, NC) and Wake Forest Baptist Imaging, LLC (Winston Salem, NC). 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 Andita Hidayati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andita Hidayati accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Andita Hidayati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andita Hidayati affiliated with any hospitals?

According to CMS data, Andita Hidayati is affiliated with High Point Regional Health System, North Carolina Baptist Hospital and Wilkes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andita Hidayati was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.