Active NPI
Legacy Rheumatology, LLC
- Rheumatology Physician
- Palm Beach Gardens, FL
National Provider Identifier
1033047097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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 DirectoryNPI 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.