Individual provider Active NPI

Temitope F Soares, MD

  • Dermatology Physician
  • Spring, TX
National Provider Identifier
1619950383
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M9017 Issued in TX
Practice address
28517 Spring Trails Ridge
110
Spring, TX 77386-4357
Phone
(281) 385-8189
Fax
(281) 203-5037
NPI assigned
Nov 27, 2005
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M9017 TX Primary

Addresses

Primary practice location

28517 Spring Trails Ridge
110
Spring, TX 77386-4357

Mailing address

28517 Spring Trails RDG Ste 110
Spring, TX 77386-4357
Phone (281) 385-8189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080813000020 TX Practitioner - Dermatology 0446283485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Associates in Dermatology, PLLCGroup PAC ID 5698951879, 2 clinicians

Practice addresses (Care Compare)

28517 Spring Trails RDG
Suite 110
Spring, TX 77386-4357
Phone (281) 385-8189

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of skin lesions379
Removal or shaving of skin growth322
Skin biopsy22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Associates in Dermatology, PLLC Dermatology CurrentSince Sep 2, 2010 Accepting new patients

Locations

847 FM 1960 Rd W
Ste 100
Houston, TX 77090
Phone (281) 312-5558

28517 Spring Trails Rdg
Ste 110
Spring, TX 77386
Phone (281) 385-8189

Interoperability endpoints

  • Direct secure messaging: tsoares@dmp.emadirect.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1619950383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28517 SPRING TRAILS RDG STE 110",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864357",
            "telephone_number": "281-385-8189",
            "fax_number": "281-203-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28517 SPRING TRAILS RIDGE",
            "address_2": "110",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864357",
            "telephone_number": "281-385-8189",
            "fax_number": "281-203-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "TEMITOPE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M9017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.