Organization Active NPI

Legacy Rheumatology Mid

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
National Provider Identifier
1578461083
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
LEGACY RHEUMATOLOGY MID
Practice address
1015 W Indiantown Rd Ste A201
Jupiter, FL 33458-6839
Phone
(561) 747-1987
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY RHEUMATOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Dr. Ekaterina Simakova, MDNPI 1982066155
Title
Owner
Phone
(561) 747-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1015 W Indiantown Rd Ste A201
Jupiter, FL 33458-6839

Mailing address

1015 W Indiantown Rd # A201
Jupiter, FL 33458-6839
Phone (561) 747-1987

National Provider Directory

National Provider Directory
Tax ID family
Legacy Rheumatology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 W Indiantown Rd
#A201
Jupiter, FL 33458
Phone (561) 747-1987

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1578461083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W INDIANTOWN RD # A201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586839",
            "telephone_number": "561-747-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W INDIANTOWN RD STE A201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586839",
            "telephone_number": "561-747-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RHEUMATOLOGY MID",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY RHEUMATOLOGY, LLC",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "SIMAKOVA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-747-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.