DR. AMY SUPORN ASANDRA (M.D.) – Vascular & Interventional Radiology Physician, NPI 1588860159

DR. AMY SUPORN ASANDRA (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. Q3847 (TX). The NPI Number for DR. AMY SUPORN ASANDRA (M.D.) is 1588860159

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY SUPORN ASANDRA (M.D.)
NPI
1588860159
Phone
(214) 645-8920
Address
PO BOX 845347
Enumeration Date
21 June 2007
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9252967150
Graduation Year
2007 (19 years ago)
PAC ID
2264669654
Group Practice PAC ID
9537069125
Professional Enrollment ID
I20241119004855
Address ID
TX774596720MI4527XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

453 INTERVENTIONAL RADIOLOGY in TX

Provider Addresses for DR. AMY SUPORN ASANDRA (M.D.)

  • PO BOX 845347

    DALLAS, TX 752845347

    Phone: (214) 645-8920

    Type: Mailing

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone: (214) 645-8920

    Type: Location

  • 6201 Harry Hines Blvd

    Dallas, TX 752355202

    Phone: (214) 645-8920

    Type: Location

  • 2125, Oak Grove Road, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 95498, United States

    SUITE 200

    WALNUT CREEK, CA 945982536

    Phone: (925) 296-7150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $682.

Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Stryker Corporation ($279).

Total Amount

$682

General + Research + Ownership

Payments

13

Total payment records

General Amount

$682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131210000817IDiagnostic RadiologyCATBD
I20241119004855IDiagnostic RadiologyTXTBD
I20260211002565IInterventional RadiologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes141129$0
32555Aspiration of fluid from chest cavity using imaging guidance7653$0
77001Fluoroscopic guidance for insertion or removal of central vein access device5551$0
76937Ultrasonic guidance for blood vessel access4845$0
77012Review by radiologist of ct guidance for needle placement4140$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

DR. AMY SUPORN ASANDRA (M.D.) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front457426
DIAGNOSTIC RADIOLOGYCA71250CT scan chest4848
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast7676
DIAGNOSTIC RADIOLOGYCA76830Ultrasound pelvis through vagina1111
DIAGNOSTIC RADIOLOGYCA77012Radiological supervision and interpretation of CT guidance for needle insertion4848

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537069125View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineCA
-CA
-CA
Diagnostic RadiologyCA
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CT
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. AMY SUPORN ASANDRA (M.D.)?
DR. AMY SUPORN ASANDRA (M.D.) — NPI 1588860159 — is the standard way to identify this listing.
Is DR. AMY SUPORN ASANDRA (M.D.) listed as active for patients and plans?
The listing shows DR. AMY SUPORN ASANDRA (M.D.) as active in the NPI system.
What is DR. AMY SUPORN ASANDRA (M.D.) best known for clinically?
Directory data describes DR. AMY SUPORN ASANDRA (M.D.) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMY SUPORN ASANDRA (M.D.) on a map?
Expect Dallas, Texas as a primary anchor for DR. AMY SUPORN ASANDRA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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