Active NPI
Kevin Blase Deandrade, M.D.
- Interventional Cardiology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 30054
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063477644 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Alabama School of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 22 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30054 | AL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Mobile Heart USA, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Mobile Heart Specialists PC | Current | 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
- 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.
-
- Specialist
- Mobile, AL
- NPI 1063477644
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- Cardiovascular Disease Physician
- Mobile, AL
- NPI 1629668777
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evergreen, AL
- NPI 1891770368
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.