Superior Physician Group
NPI 1164912754 · Internal Medicine Physician · Temple Terrace, FL
Superior Physician Group is a Internal Medicine Physician organization in Temple Terrace, FL (NPI 1164912754).
Provider details
- NPI number
- 1164912754
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renii Modisette, Operations Manager(813) 365-5680
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2018-05-22
Frequently asked questions
- What is Superior Physician Group's NPI number?
- Superior Physician Group's National Provider Identifier (NPI) is 1164912754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Superior Physician Group?
- Superior Physician Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Superior Physician Group located?
- Superior Physician Group's practice location on file with NPPES is 10730 N 56th St Ste 209, Temple Terrace, FL 33617.
- What is Superior Physician Group's phone number?
- The practice phone number listed in the NPPES registry for Superior Physician Group is (813) 365-5680.
- Who is the authorized official for Superior Physician Group?
- The authorized official listed on Superior Physician Group's NPPES record is Renii Modisette, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Superior Physician Group's NPI active?
- Yes — Superior Physician Group's NPI (1164912754) is active in the NPPES registry as of the last update on 2018-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.