Andita Dwi Hidayati, MD
NPI 1649017534ActiveIndividual· Radiology, Diagnostic Radiology· San Antonio, TX
Radiology, Diagnostic Radiology (MD) with Wake Forest University Health Sciences and 2 other groups, practicing in San Antonio, Texas. Enrolled in Medicare as practitioner - diagnostic radiology. Heartflow, Inc. reported $16.96 in payments in 2025, mostly food and beverage. Lists High Point Regional Health System and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1649017534 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2024 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | BP10087321 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | 2026-01179 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (NC) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Wake Forest University Health SciencesHigh Point, NC · 2,645 clinicians
- Wake Forest Health Network LLCAsheboro, NC · 292 clinicians
- Wake Forest Baptist Imaging LLCWinston Salem, NC · 79 clinicians
Hospital affiliations
- High Point Regional Health SystemHigh Point, NC
- North Carolina Baptist HospitalWinston-Salem, NC
- Wilkes Regional Medical CenterNorth Wilkesboro, NC
Industry payments (Open Payments)
- 2025$16.96 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heartflow, Inc. | $16.96 | 1 |
What the 2025 payments were for
- Food and Beverage$16.96 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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