Internal Medicine File Review Consultants

Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of board certified Internal Medicine physicians are available to provide a Medical file review, Utilization review, Chart review, Peer review, Second opinion (2nd opinion), Underwriting report, Disability opinion, Pre-authorization, etc.

Liam A Briones, MD, MBA

Yuma, Arizona
Internal Medicine, Sleep Medicine - I am board elegible in Critical Care and Pulmonary Medicine. I am elegible in Emergency Medicine. During the pandemic I worked around the country and found utilization issues in the ICU that could be corrected with proper utilization review. I have reviewed records for attorneys in pulmonary medicine. I have reviewed cases for medico-legal issues pertinent to my group and I have been succesful in getting droped. I have 2.5 yrs of law school education.

David G. Carfagno, DO Scottsdale Sports Medicine

Scottsdale, Arizona
Internal Medicine, Sports Medicine

Ravindra Gudavalli

Paradise Valley, Arizona
Critical Care Medicine, Pulmonary Disease, Internal Medicine - I have been in practice in academic and private settings over the past 12 years and have reviewed files for Arizona State Medical Board. My areas of expertise include: Critical Care Medicine (sepsis, septic shock, mechanical ventilation, respiratory failure) ; Pulmonary disease: COPD, pulmonary hypertension, Interstitial lung disease, asthma, lung nodule, pleural disorders.

Maheen Sheikh, MD

peoria, Arizona
Gastroenterology, Internal Medicine - Having performed >100 file reviews, I have become proficient and thorough in the field of file reviews. I am board certified in Gastroenterology/Hepatology and Internal Medicine. I have absolutely no problem performing peer to peer calls or outreaches and I find my success rate to be high.

Nizar Suleman, MD

Hot Springs, Arkansas
Critical Care Medicine, Internal Medicine, Pulmonary Disease, Sleep Medicine - 16+ years experience practicing in a busy pulmonary, critical care and sleep disorders medicine practice, both in the office and hospital. Possess a calm demeanor with effective communication skills. I like to teach and explain issues, beginning with the basics. Believe in paying attention to detail, being thorough when taking care of patients, documentation and preparation of reports, as well as being able to evaluate cases critically.

Joselyn E. Bailey, MD Joselyn E. Bailey, M.D., A Medical Corporation

Torrance, California
Internal Medicine

Nelhs Betancourt, MD, MPH, DABT, CIME N Betancourt M.D. Inc.

Irvine, California
Internal Medicine, Toxicology - Masters of Preventive Health, Medical College of Wisconsin, MD, University of Puerto Rico School of Medicine, MS Biochemistry, MS Chemistry and BA Literature, University of Puerto Rico. Diplomat of the National Board of Medical Examiners , Diplomat of the American Board of Internal Medicine, Diplomate of the American Board of Toxicology, Diplomat of the American Board of Independent Medical Evaluators. - Certified Medical Review Officer. Workers Compensation, ERISA, Return to Work, IME, Faculty Member, ABQAUR

Arun K Chakrabarty, MD private

Hemet, California
Addiction Medicine, Internal Medicine - I am board-certified in internal medicine (first time pass) and have active certification status by participating in maintenance of certification (i.e. MOC). I have several years experience as a hospitalist and also experience in addiction medicine. I have no malpractice lawsuits to date. I also work at an urgent care center.

Lisa N Gervin, MD Palo Alto Medical Foundation

Mountain View, California
Internal Medicine

Susan E Lawrence, MD

Lancaster, California
Internal Medicine, Oncology - 30 years of experience in the treatment of HIV/AIDS, viral hepatitis and coccidiodomycosis; 12 years of experience in correctional medicine; 21 years of experience as Founder, CEO and Medical Director of a state licensed community clinic for HIV/AIDS care; and founded and served as Medical Director of a Federally Qualified Health Center (FQHC) for the medically indigent. I also received my JD degree with highest honors in January 2017 and sat for the California Bar Exam in July 2017.

Carlo Medina, M.D.

Santa Monica, California
Internal Medicine - File Review Experience

Nkiruka J. Ndu (Akabike), MD, FACP, CCHP, QME Justlaw Medical Services

Visalia, Fresno Metropolis, California
Addiction Medicine, Internal Medicine, Occupational Medicine - *Perform second level appeals for Independent Review Organizations according to URAC/NCQA standards such as medical necessity determinations, healthcare authorizations and denials. *Perform chart reviews for beneficiaries of commercial health plans to determine medical necessity and length of stay. *Perform health care authorization and denials for diagnostic tests and treatment.

Raluca I Cascaval, MD

Colorado Springs, Colorado
Internal Medicine - ABIM Certification - Focused Practice in Hospital Medicine

Philip Fung, MD

Centennial, Colorado
Internal Medicine - Assistant Professor of Medicine at University of Colorado. Leadership roles in clinical and organizational ethics. Have been providing clinical ethics consultations for >10 years with additional extensive training in bioethics and philosophy of medicine. Extensive acute care/hospital medicine experience in academic and private practice settings. Additional experience in hospice and palliative medicine. PhD candidate in health care ethics.

Stephen L Newman, MD, MBA Stephen L. Newman MD, MBA

Denver, Colorado
Internal Medicine, Pulmonary Disease, Sleep Medicine - Faculty: Robert Wood Johnson School of Medicine: Clinical Instructor Education: MBA File Review: extensive experience in quality of care, necessity of investigative tests, pharmacotherapy for IME firms, Disability, Insurance as well as Legal firms: toxic torts: plaintiff: 90% Defendant 10% Wide experience in mold exposure, solvent and cleaning agent effects on health, asbestosis, silicosis, uranium and herbicide exposure. I review approximately1500 files per year, and am deposed about 6 times per year over the last 33 years.

William J Baker, MD University of Connecticut Health Center

Farmington, Connecticut
Hematology, Internal Medicine, Oncology

Prakash Seshadri, MD Christiana Care Health System

Wilmington , Delaware
Endocrinology, Diabetes and Metabolism, Internal Medicine

Kissonie Bair, Medical Doctor

Ocala , Florida
Internal Medicine

ANKUSH K BANSAL, MD FACP FACPM SFHM

Delray Beach, Florida
Internal Medicine - Previous Assistant Professor of Clinical Medicine, University of Miami; Voluntary Clinical Assistant Professor of Medicine, Florida International University; Fellow, American College of Physicians; Fellow, American College of Preventive Medicine; Senior Fellow, Society of Hospital Medicine; reviewed hundreds of auto injury, disability, and hospital files for several organizations; telemedicine experience; mass media experience.

Maurice Bonilla, Medical Doctor

Tampa, Florida
Geriatric Medicine, Internal Medicine - I have been in a solo Internal Medicine private practice since 1986. I have active hospital privileges at Tamp General Hospital. I previously have been Chief of Internal Medicine at St. Joseph's Hospital in Tampa. My practice is General Internal Medicine and Geriatrics. I worked part time for five years at a large insurance company performing Long Term Care Reviews. I have performed multiple legal expert witness record reviews for malpractice attorneys. My schedule is flexible so my turn around time for reviews is excellent.

Theresa Buck, BS. MA, MBA, MD Pulmonary/Critical Care Medicine

Tierra Verde, Florida
Critical Care Medicine, Internal Medicine, Pulmonary Disease - Medical/Section Editor- Board Study Review for ABIM exams- ongoing MBA Healthcare Administration Florida EQ Health Medical Reviews- 100+ Committees: Critical Care; Pharmacy & Therapeutics Technical Skills: EBUS, Navigational Bronchoscopy & Fiducial Markers, Airway Management ACLS/BLS up to date Mentor to: Pulmonary & Critical Care Fellows University of Central Florida, Asst Professor Internal Medicine

Tracey Q Davidoff, MD, FCUCM

Kissimmee, Florida
Internal Medicine - I am an experienced physician in Urgent Care and have been active in the College of Urgent Care Medicine. I have been on the Board of Directors for 8 years and the Vice President fo 5 years. I have been uniquely positioned to understand accepted practices and standards of care in Urgent Care Medicine throughout the country. My experience with the NY State Department of Health Office of Professional Medical Conduct has exposed me to numerous challenging cases and thousands of patient chart reviews where I rendered opinions on standards of practice, documentation, and ethics.

Carl A Dragstedt, DO, FACC Dragon Oaks Consulting, LLC

Alachua, Florida
Cardiovascular Disease, Internal Medicine, Interventional Cardiology - Fellow of the American College of Cardiology; Adjunct Clinical Professor at University of Florida; consultant, speaker, writer, numerous academic publications, peer review for journal Clinical Cardiology. Provides concise, timely and thorough reports. Readily available with flexible scheduling to meet client’s needs.

Perry Hookman, MD, FACG, FACP, AGAF Perry Hookman, MD, PA

Boca Raton, Florida
Gastroenterology, Internal Medicine - Active clinical & teaching practice of Gastroenterology in a community teaching hospital. Active clinical practice of Gastroenterology in South Florida Charity Clinics

Sunil Jadonath, MD

Winter Garden, Florida
Internal Medicine - Physician Advisor, CHCQM Utilization Review Chart Reviews for: Medical Necessity, Auths, Post-Acute Care, CDI, Continued stay, Payor Denials

Cheryl L. Jeffries, MD CJS Health Solutions

Navarre, Florida
Internal Medicine

Vanessa Peluso, MD, MBA, CPE

Winter Park, Florida
Emergency Medicine, Internal Medicine

Vince Faridani, MD, MBA, FACP, SFHM

Tifton, Georgia
Internal Medicine - Dr. Faridani completes chart evaluation and analysis, case reviews for mortality/morbidity, peer reviews, medical malpractice and evaluation for standard of care.

Constance George-Adebayo, MD, FACP Christ the King Healthcare

Loganville, Georgia
Internal Medicine - Civil Surgeon, Fellow of the American College of Physicians, Principal Investigator for Clinical Trials, Travel Medicine, Weight Management. Currently, a Medical Director at Christ the King Medical Center.

Paul R. Minton, MD Minton Consulting

Alpharetta , Georgia
Cardiovascular Disease, Internal Medicine

Natasha Stinson, M.D. SCS Medical Group

Peachtree City, Georgia
Internal Medicine

Kimberly A Zielke, M.D.

Savannah, Georgia
Geriatric Medicine, Hospice and Palliative Medicine, Internal Medicine - I have served as medical director of a number of hospices and am quite knowledgeable about hospice rules and regulations. I am currently working as the medical director of a geriatric clinic where I split my time between patient care and administrative work. Throughout my career I have served on a number of physician review boards and have had nurse practitioners and physicians reporting to me for the last 25 years. This oversight includes reviewing their documentation, among other things.

Julie D Lyon, MD

Nampa, Idaho
Internal Medicine - Board Cerified in Internal Medicine With a focus on Hospital Medicine

Bola Balogun, MD, MPH Radiance HealthCare Solutions

Wilmette, Illinois
Internal Medicine - Currently providing independent file reviews for the past year with a focus on complex medical cases and utilization reviews. Over 10 yrs of clinical practice with hospitalist experience and expertise.

Glenda E Flemister, MD, FACP, FCCP Medical Health Solutions

Frankfort, Illinois
Critical Care Medicine, Internal Medicine, Pulmonary Disease - Board Certified in Pulmonary & Critical Care Medicine through 2023. Internal Medicine thru ABIM. Private Practice and sub-specialty medicine, (pulmonary & critical care medicine),>28 years; and >12 years’ experience in national insurance and payer companies. (Aetna, Blue Cross/Blue Shield as Medical Director. Interim CEO Next Level Health). Currently fulltime medical reviews (all levels) and expert medical reviews.

Elissa L Stern, MD

Chicago, Illinois
Internal Medicine - Seeking to build file review practice; 9 years Primary Care Attending Physician, Jesse Brown VA; Assistant Professor of General Internal Medicine, Northwestern Feinberg School of Medicine; Board Certified in Internal Medicine (ABIM) and Integrative Medicine (ABPS-ABOIM); Training: Residency and Internship in Internal Medicine, Northwestern McGaw Graduate Medical Education Program; Fellowship in Integrative Medicine, George Washington University School of Medicine and Health Sciences; Areas of interest: Primary care, Women's Health, Pain Management, Outpatient Medicine, Internal Medicine

Kurosh Takhtehchian, DO

Glenview, Illinois
Anesthesiology, Critical Care Medicine, Internal Medicine - Board Certified anesthesiologist, section head of cardiac anesthesia Active in liver kidney pancreas transplant, thoracic, vascular, and obstetrics anesthesia Teaching attending for residents and crnas Board certified critical medicine Sicu cardiac icu and transplant icu physician with previous medical icu coverage as intensivist Board certified in Internal medicine Have been active for many years in medical legal case reviews, and in depositions and trials for defense, plaintiffs

Richard A Hahn, MD, FACC FACP FCCP

Indianapolis, Indiana
Cardiovascular Disease, Internal Medicine - My clinical responsibilities included complex inpatient and outpatient care; daily CCU, ICU, and ER interactions; medical director oversight of the cardiac rehabilitation program and the Healthy Hearts Clinic; and invasive procedures in the cardiac catheterization laboratory. I have been engaged as an expert reviewer since the mid-1990's, working with law firms, insurance companies, and social security disability. My goal is to apply my cardiovascular medical education, training, and experience of >30 years in order to arrive at fair, impartial, and timely opinions for all parties concerned.

Kevin L. Carr, MD, FACP, JD (candidate) Private

Lutherville, Maryland
Internal Medicine - I have years of experience performing medical chart reviews and have provided utilization reviews, served as an expert witness in Internal Medicine, and have been an in-house medical consultant for a law firm, tasked with reviewing complex medical cases. I have nearly 20 years of experience in Internal Medicine and Hospital Medicine, having won numerous awards for the practice of medicine. As a JD candidate, I am uniquely qualified to review medical issues with an understanding of the objective legal standards.

Geetanjali Johri, MD

Salisbury, Maryland
Internal Medicine - I'm currently a rounding and admitting hospitalist in an academic setting. I have served in academic and private practice for the past 5 years including inpatient and outpatient settings. My areas of expertise are critical care, sepsis, congestive heart failure, chronic obstructive pulmonary disease, hypertension, diabetes, hypothyroidism and stroke.

philip levin, MD

finksburg, Maryland
Endocrinology, Diabetes and Metabolism, Internal Medicine - internship - Yale univ hospital, residency- Yale Medical system, sr resident- georgetown univ hospital, fellowship endo- Ohio state university hospital, NIH clinical associate, Institutional review board- greater baltimore medical center, Johns Hopkins Hospital Medical School- Asst. professor

Ayo Ogunbameru, MD,MPH,FACP,CHCQM Medical and Dental Alliance of Tampa Bay

Gambrills, Maryland
Internal Medicine - Board Certified Internal Medicine, Fellow of the American College of Physicians, Diplomate of the American Board of Quality and Utilization Review Physicians. Hospitalist and current clinical case reviewer for Provider Resources Inc in Erie PA and Alliant Health Solutions in Atlanta GA. Assistant Professor of Clinical Medicine, Nova Southeastern University Kiran Patel College of Osteopathic Medicine. Experienced in providing expedited and thorough audit reviews, facility requested reviews, routine management reviews in Hospital Medicine.

Ramin Pirouz, MD, JD

Owings, Maryland
Critical Care Medicine, Internal Medicine, Pulmonary Disease - After completing law school and medical school I completed my internal medicine training in Brooklyn, New York. I was voted resident of the year and upon completion of my residency I was nominated to be chief resident. I then completed a Pulmonary/Critical Care Fellowship program at George Washington University. I was voted Fellow of the Year by my peers and attending physicians. I am currently the Director of Critical Care Medicine at a hospital in Maryland and have run the intensive care unit for 6 years. I also have a private pulmonary clinic which is part of a multi-specialty practice.

Dorothy M Seay, MD Seay Medical Chart Review Services

Laurel, Maryland
Internal Medicine - Certification of Medical Direction from AMDA (Post Acute and Long Term Care); Medical Director of Long Term Care Facilities since 2008

Susan E. Thompson, D.O.

Elkton, Maryland
Emergency Medicine, Internal Medicine - Fellow of the American Board of Emergency Medicine Fellow of the American Academy of Emergency Medicine ACLS, BLS, PALS, NRP, ATLS. ABLS certified

Robert J Cooper, MD

Longmeadow, Massachusetts
Endocrinology, Diabetes and Metabolism, Internal Medicine - 20+ years practicing in the specialty of endocrinology, with experience in both private and academic practices. Diplomate of the ABIM in both IM and endocrinology. Fellow of the American College of Physicians (FACP) and Fellow of the American College of Endocrinology (FACE). Experienced in performing file reviews for medical necessity, peer reviews, pre-authorizations, chart reviews and coding reviews in endocrine; experienced in performing length of stay, chart reviews, and long/short term disability in both endocrine and IM. Previously served on QA/QI committee as Chief of Medicine.

Maria A. DePina, MD Be In Health Primary Care, LLC

Brockton, Massachusetts
Internal Medicine

Kenya Hanspard, MD Palmetto Hospitalist Services LLC

Westford, Massachusetts
Internal Medicine - My specialty is Inpatient Medicine. Utilization reviews, chart reviews, peer review and medical necessity is where I have the most experience.

Virginia H. Palazzo, M.D.

Wellfleet, Massachusetts
Internal Medicine

Steven Paul Winkel, D.O., FACP

Easthampton, Massachusetts
Internal Medicine, Occupational Medicine, Preventive Medicine/Occupational Environmental Medicine - I have over 20 years experience with Independent Medical Exams, Disability Exams, Fitness for Duty Exams. Additionally I am NRCME certified and a Medical Review Officer.

Thomas Winters, MD OEHN

Marlborough, Massachusetts
Infectious Disease, Internal Medicine, Occupational Medicine - Board Certified in Internal Medicine Board Eligible in Infectious Disease Board Certified Occupational Medicine Certified Medical Review Officer Certified Independent Medical Examiner

Stephanie Clemens, MD

Royal Oak, Michigan
Internal Medicine - I completed undergraduate work at the University of Texas in Austin and medical school at UT Health Science Center San Antonio. I completed a preliminary internship at Lincoln Medical Center in New York City, and a residency in Internal Medicine at the University if Nevada Reno. I have been working as an inpatient internal medicine hospitalist since 2015. I also now work 40 hours a week in telemedicine in addition to working in the hospital approximately 24-48 hours a month. I have been doing outpatient telemedicine since 2019.

Sophie Toya, MD

Bloomfield Hills, Michigan
Critical Care Medicine, Internal Medicine, Pulmonary Disease

John E Crowley, M.D. Allina Health

Saint Paul, Minnesota
Internal Medicine - I’m a hospitalist at 4 Twin Cities metro area hospitals. I am not an intensivist but I have maintained my ICU skills and regularly care for critically ill patients, including line placements and ventilator management. I have worked in academic medicine attending for medical students and residents, and worked in a traditional IM setting, seeing both clinic and hospital patients, for 6 years before becoming a full time hospitalist. I have done 5 file reviews in the last 4 years.

Albert J Mercuri, MD, MBA, CPPS CentraCare Health

Saint Joseph, Minnesota
Internal Medicine - I am a board certified hospitalist with 22 years of experience who also serves an administrative role as hospital medicine section director. Additional training includes an MBA in healthcare administration as well as expertise in patient safety as a Certified Professional in Patient Safety. I have served many roles on the medical staff and currently chair a 400+ bed hospital safety and quality committee. I have reviewed numerous cases from a safety and quality standpoint, and have a special interest in diagnostic error, systems and quality improvement, as well as patient safety in general

Prince Singh, MBBS, FACP, FASN St. Luke's Hospital

Duluth , Minnesota
Internal Medicine, Nephrology - I have dual board certification from American Board of Internal Medicine- Nephrology and Internal Medicine. I have also been certified as a specialist in Hypertension from AHSCP. I have been fortunate to have trained at Mayo Clinic and at Duke University and have been able to secure fellowship from American Society of Nephrology (FASN) and American College of Physicians (FACP). I have published close to 20 manuscripts and as first author in about dozen of them with a recent review in Nature Reviews Nephrology. I have received training from SEAK in file reviews and disability insurance.

Connie J. Wang, MD

Minneapolis, Minnesota
Internal Medicine, Nephrology

Martin E. Gordon, MD Medical Films, LLC

St. Louis, Missouri
Internal Medicine - Current: Medical Media Producer/Director of educational Exhibits, Films & Med. Devices Medical Films, LOOLC, CEO; Life Time Honorary Trustee, Board, Yale U. Cushing/Whitney Med. Library: Emeritus Chairman, prior Clinical Professor Medicine, Yale University School of Medicine, Sr. Education Advisor, FC Medical Studios International

Timothy J. McDermott, MD, MBA Osage Beach Cardiology Ltd.

Linn creek, Missouri
Cardiovascular Disease, Internal Medicine, Interventional Cardiology, Nuclear Medicine - 25+ years experience Internal Medicine, Cardiology, Interventional Cardiology with extensive peripheral vascular disease management including wound care and hyperbaric medicine. 25+ years experience device implantation pacemakers and implantable defibrillators. 5+ years experience as an Emergency Department Physician.

Daniel Einspahr, MD

Doniphan, Nebraska
Internal Medicine - Performing File Review since 2005. Experience in multiple Court Trials, Reference Nebraska Supreme Court Carlson v. Okerstrom 675 N.W.2d 89 (2004) 267 Neb. 397 Managed LTACH Madonna Rehab Hospital in Lincoln Nebraska 15 years Private Practice Lincoln Nebraska 1994-2016 Experienced in management of post hospital rehabilitation Current Medical Director Care Facility 2007-current Reviewer for national insurance company 2005-present Hospitalist Program Medical Director 2016-Current

Lance A Schell, MD

Hastings, Nebraska
Internal Medicine - I am a board-certified internal medicine hospitalist currently practicing in a rural community setting with proficiency in ventilator management, central vascular access, thoracentesis, paracentesis, and point-of-care ultrasound as well as routine care of critically ill patients. My particular interests include septic shock, heart failure, antimicrobial stewardship, and quality improvement. I currently also serve in an adjunctive faculty role teaching medical and physician assistant students as well as local utilization review.

Michael O'Hanlan, MD Health Assessment Specialists of Nevada

Henderson, Nevada
Internal Medicine, Rheumatology - Drexel University Medical Residency UCLA Rheumatology Fellowship ABIME Training IV Infusion Therapy Clinical Research Medical Director- Volunteers in Medicine of Southern Nevada

Aldo A Arpaia, MD, FACP Consultants In Medicine

New Providence, New Jersey
Internal Medicine, Geriatric Medicine, Preventive Medicine/Public Health - Dr. Arpaia is Board Certified in Internal Medicine and Geriatrics. He has been in private and academic medicine throughout his 29 year career. Experienced in file review for insurers, attorneys, and 3rd parties Dr. Arpaia's areas of expertise include but not limited to preventative medicine, cardio-pulmonary conditions, diabetes, nursing home and eldercare. Dr. Arpaia has been a steward for those seeking assistance in establishing best practices and standards of care. Please email or call to find out how Dr. Arpaia and his staff can help you.

Oladayo O. Bolarinwa, MD Bolarinwa Medical Services, LLC.

Columbus, New Jersey
Internal Medicine - Currently practicing in a hospital in Philadelphia, PA. I am a diplomate of the American Board of Internal Medicine and have been in private and academic practice for the last 9 years. I have participated in the SEAK file and disability review course. My practice experience is broad from private practice office settings to urban academic hospitals with residency programs. I am active currently with several NAIRO organizations. I am available for file reviews and my work is always done in a thorough, diligent and time effective manner. Further information is available upon request.

Sandhya Jagamony, MD

Edison, New Jersey
Internal Medicine

Ralph K. Messo, M.S., D.O. RKMConsulting.org

Colts Neck, New Jersey
Internal Medicine, Pediatrics - I have held several Medical School appointments over the past 25 years. I have performed reviews for many attorneys over the past 25 years as well.

Wendy Gerstein, MD NMVAHCS

Albuquerque, New Mexico
Infectious Disease, Internal Medicine - I am Full Professor of Medicine at UNM School of Medicine, and I am still practice clinical medicine full-time. I am up to date with my board certification in both Internal Medicine and Infectious Diseases. I have done multiple reviews for life insurance company claims, particularly for Infectious Diseases cases. In addition, I have been an expert witness for over 10 years in both Internal Medicine and Infectious Diseases cases. I have reviewed between 30-50 cases over the last 10 years, written expert witness reports, and given depositions.

Michael Bashevkin, MD Hematology Oncology Associates of Brooklyn

Lawrence, New York
Hematology, Internal Medicine, Oncology

Diego Escobar, MD

New Rochelle, New York
Internal Medicine

Eric Hoffmann, MD

Mount Sinai, New York
Internal Medicine - 36 years of active practice in internal medicine including the conoravirus pandemic in office practice.

Christopher Prendergast, MD, MSCI

Manlius , New York
Internal Medicine, Pediatric Cardiology, Pediatrics - Dr. Prendergast is Board Certified in Pediatrics, Internal Medicine, and Pediatric Cardiology. He has experience in the areas of inpatient and outpatient medicine as well as preoperative and post operative management. He is interested in providing case reviews, and providing detailed and timely reports for all clients.

Aloha E Bryson, MD MA PhD

Weaverville, North Carolina
Internal Medicine - Specialization in Hospital Medicine (17 yrs as a practicing hospitalist) in addition to General Internal Medicine for 21 yrs. Additional experience in Hospice and Palliative Care, and Geriatrics. Diplomate of American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Fellow of the American Institute for Healthcare Quality. Certification by ABQAURP and VHA in UM Peer Review. Physician utilization management advisor (PUMA) for VHA. Extensive Peer Review experience (UM second and third level reviews as well as Code 44s) within VHA and private sector

Roger L Seagle, MD, MS Cardiology Associates of the Carolinas, PA

Morganton, North Carolina
Cardiovascular Disease, Internal Medicine - Invasive Cardiology, Experience in pacemaker implantation, cardiac catheterization, acute coronary care, and complex patient care. Currently in private practice of general internal medicine with subspecialty in cardiovascular disease. Experience in IME and state of North Carolina Disability Determination Examinations. Private Practice for 37 years TIMI, CIRT, GUSTO, GUSTO II, Gusto IIA, Assent II, ISSI 3, ISSI 4 Clinical Investigation Fellow, American College of Cardiology

JANE L SWAN, M.D.

RALEIGH, North Carolina
Internal Medicine - Specialized in Phlebology (vein treatment)- founded, owned, the sole provider of a vein clinic for 17 yrs. Developed protocols for patient care; for care provided by clinical staff; for non-clinical staff. Focused on creating a team. I enjoy & am very good at educating patients(& other providers) about their health problems, explaining complicated things in terms that are easily understood. I'm very detail-oriented, often finding things that many other Drs overlook on physical exam, in analyzing labs. I'm very good at proofreading often finding errors that others miss.

Madhu Kandarpa, MD, MRCP (UK), FASN Core Nephrology LLC

Dayton, Ohio
Nephrology, Internal Medicine - - Medical Director, Davita Dialysis - President and Founder, Core Nephrology LLC -Clinical Assistant Professor, Wright State University, Dayton, Ohio, USA - currently MBA student at University of Massachusetts Amherst -Medical resident teaching -Hospital committee member

Curtis W. Taylor, M.D., MPH

CINCINNATI, Ohio
Internal Medicine - I am Board Certified in Internal Medicine. My administrative experience includes past presidency of the Medical Staff and Director of the Department of Medicine and Family Practice. I have 36 years in active clinical practice. I have done thousands of file reviews over the last 22 years.

Jonathan Wiesen, MD

Beachwood, Ohio
Critical Care Medicine, Internal Medicine, Pulmonary Disease - My areas of expertise include: Critical Care Medicine (Cardio-pulmonary hemodynamics, respiratory physiology, mechanical ventilation, sepsis and septic shock); Pulmonary Medicine (Asthma, COPD, Smoking related diseases, Interstitial Lung Disease, Pulmonary Hypertension, Lung transplantation); Biomedical Ethics (End of life, conflict resolution, triage). I have received a number of teaching and research awards for my academic work at the Cleveland Clinic. I have extensive academic experience with over 75 publications including first authorship of over a dozen full length manuscripts.

Beverly J. Yamour, MD, FACC Beverly Yamour, MD FACC

Washington CH, Ohio
Cardiovascular Disease, Internal Medicine

Carl C. Balog, MD

Tigard, Oregon
Addiction Medicine, Anesthesiology, Internal Medicine, Pain - Dr. Balog is board-certified in Pain Management, Anesthesiology, and Addiction Medicine. He is the founder and CEO of Portland Pain and Spine and practices interventional pain and regenerative medicine in Portland, Oregon. He has extensive experience in guideline preparations as former Med Director of a large local health system, a co-author of ASIPP guideline reviews, and on its Editorial Board. He has ASC management experience in both development and operations.

Gyorgy Pataki, MD

Eugene, Oregon
Internal Medicine - Graduated Internal Medicine Residency in 1999 at Michael Reese Hospital/University of Illinois at Chicago, IL Over 20 years of outpatient Internal Medicine/Primary care experience

Karl B Bezak, MD

Pittsburgh , Pennsylvania
Hospice and Palliative Medicine, Internal Medicine - Medical Director of Inpatient Palliative Medicine Service

Stephanie Kao, MD, MPH

Wynnewood, Pennsylvania
Internal Medicine - Board certified Internal Medicine physician, in Occupational Medicine clinical practice for >20 years; with extensive background in the area of disability evaluation, personal injuries resulting from occupational injuries or motor vehicle accident, musculoskeletal issues and pain management procedures.

Vinuta Mohan, MD St Francis Medical Center

Newtown , Pennsylvania
Endocrinology, Diabetes and Metabolism, Internal Medicine - Have reviewed Internal medicine and Endocrine medical cases for legal as well as utilization review purposes. Have had multiple faculty appointments over the years including Hackensack Meridian, Seton Hall, St George's Medical University. I am board certified in Internal Medicine and Endocrinology.

Robert B Sklaroff, MD Robert B. Sklaroff, M.D.

Philadelphia, Pennsylvania
Internal Medicine, Oncology

Melba Feliciano-Emmanuelli, MD, FACP, FACE

San Juan, Puerto Rico
Endocrinology, Diabetes and Metabolism, Geriatric Medicine, Internal Medicine - Board Certified Internist and Endocrinologist with added Qualifications in Geriatrics. 31 years experience working at the VACHC System -San Juan, PR as Outpatient Clinic Faculty for 10 years and 21 years as Associate Chief of Staff for Geriatrics and Extended Care; 2 years experience as Internist and Endocrinologist in the Polytrauma Clinics and Rehabilitation Medicine Program VAMC San Juan , Director of Primary Care Education Program and Geriatrics Program in VAMC San Juan for 16 years.

Frank L Brown, Jr, MD, FACP, FACEP, FRSM, FCP(E) AMERICLIN CONSULTING

Bluffton, South Carolina
Internal Medicine - Experienced senior physician executive in the health insurance industry. Yale-educated, NIH-trained. Certified as Health Insurance Executive. National insurance companies worked for include Blue Cross & Blue Shield, Wellpoint, Anthem, and Cigna. Conducted over 2,000 committee and in-person patient grievance & appeal reviews. Conducted over 5,000 utilization/medical necessity reviews. Conducted over 500 physician appeal hearings; and 100 physician coding audits. Served as an examiner for the Malcolm Baldrige National Quality Award and the National Committee for Quality Assurance.

Jeffery R. Grimes, MD Jeffery R. Grimes, MD, PA

Johns Island, South Carolina
Addiction Medicine, Geriatric Medicine, Internal Medicine - 25 years emergency medicine experience. Clinical Assistant Professor Medical University of South Carolina. ABPM Diplomate in Addiction Medicine.

Yasmine S. Ali, MD, MSCI, FACC, FACP LastSky Writing, LLC

Ashland City, Tennessee
Cardiovascular Disease, Internal Medicine - Additional board certifications: IM, Cardiovascular Disease (maintained through NBPAS, URAC-accredited), Nuclear Cardiology, Clinical Lipidology. Advanced training in preventive cardiology, echocardiography, and advanced cardiac imaging. Specializes in cardiovascular reviews. 12+ years of experience in disability and workers comp reviews. Recent experience in COVID-related reviews. Assistant Clinical Professor of Medicine at Vanderbilt University. Multiple peer-reviewed publications. Fellow of the American College of Cardiology and of the American College of Physicians.

Mario M Ray, MD, MBA, FACP, CIME

Memphis, Tennessee
Internal Medicine - I am an AMA Guides 6th Edition Certified Independent Medical Examiner by ABIME. I have performed well over 100 medical legal file reviews over the past 10 years and have given at least 17 depositions requiring my testimony. My other experience includes over 13 years of post acute care including Inpatient Rehabilitation, Skilled Nursing Facility and Outpatient Physical Therapy patient care. I currently serve as the Medical Director of Inpatient Rehabilitation and Skilled Nursing. My expertise is concentrated on utilization review, inpatient denials, SNF denials, and personal injury file review.

MOSES ADERANTI SPEARMED MEDICAL PLLC

PEARLAND, Texas
Internal Medicine - I am Board certified in Internal Medicine. I presently work as a locum tenens hospitalist. My clinical responsibilities include complex inpatient care and general Internal Medicine.

Asifa Ashraf, MD

Arlington, Texas
Internal Medicine - Dr. Asifa Ashraf is working as a hospitalist for the past 4 years. She trained at New York Presbyterian Brooklyn Methodist Hospital. She currently works with both medical students and residents. As part of her hospitalist duties, she serves on multiple committees reviewing patient charts, including Sepsis Committee and Antimicrobial Stewardship Committee. Commonly treated conditions include: Heart Failure, COPD, Diabetes, Hypertension, Stroke, Respiratory Failure, Sepsis, DVT/PE, Cirrhosis, GI Bleeds, Renal Failure, Electrolyte Abnormalities, Alcohol Withdrawal, COVID 19 and others.

Benjamin Blow, M.D. Physician Medical Consulting of Dallas

Dallas, Texas
Critical Care Medicine, Internal Medicine, Pulmonary Disease - Experience with Medical Legal Consulting and advisement Experience with External Case Reviews for MET solutions Experience with Hospital based medicine and Intensive Care Medicine. Actively practicing in Pulmonary and Critical Care and Hospitalist Medicine Experience with ECMO and Large Transplant Pulmonology

Stella J Fitzgibbons, MD

The Woodlands, Texas
Internal Medicine - Fluent in Spanish and Russian

Robert Hallett, MD

Lufkin, Texas
Cardiovascular Disease, Internal Medicine - Board Certified in Critical Care Medicine in 1987; I chose not to take the test again in 1997 Board Certified in Interventional Cardiology in 2000; I chose not to take the test again in 2010 Fellowships: FACC, FAHA, FSCAI, FCCM, FCCP Reference for Chart Review work: Sue Salmon, Principal Prizm Medical Resources, Ltd. 1528 Walnut Street, Suite 1804 Philadelphia, PA 19102 PREVIOUS ACADEMIC APPOINTMENTS: 1973 – 1975: New York University Medical Center 1981 – 1993: New York Medical College 1998 – 2002: Tulane University Medical Center

Ajani W. Mason, M.D.

Houston, Texas
Internal Medicine

Ijeoma C Nwelue, MD

Colleyville, Texas
Internal Medicine - -10 years of experience as a Hospital Medicine Medical Director/Regional Medical Director -Assistant Professor in the Department of Internal Medicine - TCU School of Medicine -Senior Fellow in Hospital Medicine -Fellow of the American College of Physicians -Experience as the Vice Chief of the Department of Internal Medicine -9 years of experience in Utilization Review/Utilization Management -10 years of experience on Quality and Peer Review Committees -Certified Epic (EMR) Physician Builder -Physician Leader in the areas of Physician Communication and Inpatient - Clinical Operations

JONATHAN OHENHEN, MD

Allen, Texas
Internal Medicine

Faisal Rahim, MD

Grand Prairie, Texas
Internal Medicine

Linda Roley, MD, MBA

Austin, Texas
Internal Medicine - I have worked a physician reviewer doing 3rd party Blue Cross Blue Shield of Alabama concurrent reviews.

Lige B. Rushing, Jr., MD, MS Lige B. Rushing, Jr., MD, MS, PA

Dallas, Texas
Geriatric Medicine, Internal Medicine, Rheumatology - Vaccine court experience; Independent medical examiner; Veterans disability/impairment examinations and evaluations. Records review and reports, depositions, and court testimony as expert witness for nursing home and hospital malpractice. Also experienced in personal injury, fibromyalgia, breast implant, HMO/PPO cases, and health/employment disputes. Expert witness in Internal Medicine, Rheumatology, and Geriatrics for plaintiff or defense. Nationwide assignments.

Anandreet K. Sekhon, M.D., MBA West Strategic Partners

El Paso, Texas
Internal Medicine

Mark S Boutros, MD

Alexandria, Virginia
Internal Medicine - I provide Medical file reviews, Utilization reviews, Chart reviews, Peer reviews, Second opinions, Underwriting reports, Medical Necessity Determinations, Concurrent and Retrospective reviews, and Disability opinions.

Jasdeep Dalawari, MD, FACC, FSCAI Dalawari Medical Services, LLC DBA Cardiomedlegal

Glen Allen, Virginia
Cardiovascular Disease, Emergency Medicine, Internal Medicine, Interventional Cardiology - University of Pikeville Interventional Cardiology Faculty

Kristina RB Kratovil, BS, MD

Virginia Beach, Virginia
Internal Medicine

Franco Musio, M.D., FACP, FASN, FACA Franco Musio. M.D. Medical Consulting Group, LLC.

OAKTON, Virginia
Internal Medicine, Nephrology - Residency: General Surgery/Internal Medicine: Brooke Army Medical Center (1988-1993) Nephrology Fellowship: Walter Reed Army Medical Center (1993-1995) Nephrology/Internal Medicine Attending: WRAMC (1995-1998) Senior Partner: Nephrology Associates of Northern Virginia (1998-2002) Associate Professor of Medicine: Virginia Commonwealth University - Inova Fairfax Campus (2019-2021) Associate Professor of Medicine: University of Virginia School of Medicine - Inova Fairfax Campus (present) Associate Chief Medical Correspondent: WVGB 94.5FM (Beaufort, SC) (present)

SANDIP GHUGE, M.D, M.HA.

BROOKFIELD, Wisconsin
Internal Medicine - Telemedicine done for last 8 years. Equipped with setting up Telemed service at sites.

Jonathan Figg, MD Jackson Hole Direct Primary Care

Jackson, Wyoming
Internal Medicine - I have 3 years of continuous file review experience, having completed 500+ reviews in a timely, thorough, and conclusive manner. I am in active clinical practice with an integrative medicine practice in Jackson, WY.
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