Organization Active NPI

Legacy Rheumatology, LLC

  • Rheumatology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1033047097
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
LEGACY RHEUMATOLOGY, LLC
Practice address
105 Isle Verde Way
Palm Beach Gardens, FL 33418-1710
Phone
(561) 747-1987
Fax
(561) 747-1313
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Dr. Ekaterina Simakova, MD
Title
President
Phone
(561) 747-1987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

105 Isle Verde Way
Palm Beach Gardens, FL 33418-1710

Mailing address

105 Isle Verde Way
Palm Beach Gardens, FL 33418-1710
Phone (561) 747-1987

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1033047097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ISLE VERDE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181710",
            "telephone_number": "561-747-1987",
            "fax_number": "561-747-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ISLE VERDE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181710",
            "telephone_number": "561-747-1987",
            "fax_number": "561-747-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMAKOVA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-747-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.