Individual provider Active NPI

Kevin Blase Deandrade, M.D.

  • Interventional Cardiology Physician
  • Mobile, AL
National Provider Identifier
1174781017
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
30054 Issued in AL
Practice address
6701 Airport Blvd
Suite a-107
Mobile, AL 36608-6774
Phone
(251) 433-4700
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30054 AL
Interventional Cardiology Physician 207RI0011X 30054 AL Primary

Addresses

Primary practice location

6701 Airport Blvd
Suite a-107
Mobile, AL 36608-6774

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 243-4511

Other identifiers 1

IdentifierTypeStateIssuer
1063477644MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150430002467 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224357942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Alabama School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Heart Specialists PCGroup PAC ID 2466355482, 8 clinicians

Practice addresses (Care Compare)

100 Lewis St
Evergreen, AL 36401-3317
Phone (251) 433-4700

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

6701 Airport Blvd
Suite A107
Mobile, AL 36608-6774
Phone (251) 433-4700

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30054ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince May 1, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince May 1, 2025 Accepting new patients
Mobile Heart USA, LLC Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Mobile Heart Specialists PC CurrentSince Jun 30, 2014 Accepting new patients

Locations

19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086

100 Lewis St
Evergreen, AL 36401
Phone (251) 445-4797

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

6701 Airport Blvd
Ste A107
Mobile, AL 36608
Phone (251) 435-8572

3290 Dauphin St
Ste 301
Mobile, AL 36606
Phone (251) 660-5930

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Interoperability endpoints

  • Direct secure messaging: kevindeandrade@mobileheart.ssdirect.aprima.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1174781017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-243-4511",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE A-107",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086774",
            "telephone_number": "251-433-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANDRADE",
        "first_name": "KEVIN",
        "middle_name": "BLASE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "30054",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "30054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063477644",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.