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

Andita Dwi Hidayati, MD

Individual provider Diagnostic Radiology Physician · NPI 1649017534

Andita Dwi Hidayati, MD is a Diagnostic Radiology in San Antonio, Texas. Qualified in 2010, 16 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Texas.

Years since qualifying
16
Licensed in
NC, TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone: (210) 450-9100
Show map & directions

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

Additional practice locations (2)

  • 1814 Westchester Dr Ste 100, High Point, NC 27262-7369 — (336) 802-2397
  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-2255

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence BP10087321 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2026-01179 (NC)

Record details

NPI number1649017534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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