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, MBAYuma, 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.
Ravindra GudavalliParadise 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, MDpeoria, 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.
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
Lisa N Gervin, MD Palo Alto Medical FoundationMountain View, California
Sang Yong Ji, M.D.Torrance, California
Cardiovascular Disease, Electrophysiology, Clinical Cardiac, Internal Medicine - 10 years of experience as a private cardiologist and cardiac electrophysiologist providing care for wide range of cardiac conditions with guideline directed medical therapy and invasive EP procedures such as implantation of cardiac devices and complex cardiac ablations. 6 years of experience as a hospitalist and intensivist during the postgraduate training. 10 years of experience in hospital file review committee for quality improvement and morbidity & mortality peer review. Fastidious and prompt high quality file review work.
Susan E Lawrence, MDLancaster, 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.
Nkiruka J. Ndu (Akabike), MD, FACP, CCHP, QME Justlaw Medical ServicesVisalia, 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.
Kelsey Flint, MD, MSCS Kelsey Flint MD PLLCDenver, Colorado
Cardiovascular Disease, Internal Medicine - I am a cardiologist board certified in Cardiovascular Disease (aka General Cardiology), Advanced Heart Failure, and Internal Medicine. I have been in active clinical practice as an attending physician since 2018. My medical license is active and unrestricted. I have excellent writing, speaking and teaching skills that are utilized routinely in my academic position. I am accessible and responsive to all forms of communication. I am proficient in Microsoft Word, Excel, & Power Point; Adobe Acrobat and with using/learning secure online portals.
Philip Fung, MDCentennial, 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, MBADenver, 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 CenterFarmington, Connecticut
Hematology, Internal Medicine, Oncology
Farhana A Chowdhury, MDHockessin , Delaware
Internal Medicine, Nephrology - I am double board certified in Nephrology and Internal medicine. I am a practicing nephrologist with more than 7 years of experience in Nephrology. I also have more than 5 years of hospitalist experience.
Prakash Seshadri, MD Christiana Care Health SystemWilmington , Delaware
Endocrinology, Diabetes and Metabolism, Internal Medicine
Kissonie Bair, MDOcala , Florida
ANKUSH K BANSAL, MD FACP FACPM SFHMDelray 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.
Tracey Q Davidoff, MD, FCUCMKissimmee, 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, LLCAlachua, 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.
Sunil Jadonath, MDWinter 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 SolutionsNavarre, Florida
Vince Faridani, MD, MBA, FACP, SFHMTifton, 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 HealthcareLoganville, 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 ConsultingAlpharetta , Georgia
Cardiovascular Disease, Internal Medicine
Natasha Stinson, M.D. SCS Medical GroupPeachtree City, Georgia
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.
Glenda E Flemister, MD, FACP, FCCP Medical Health SolutionsFrankfort, 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, MDChicago, 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, DOGlenview, 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 FCCPIndianapolis, 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.
Walter L Campbell Jr, MD Lallie Kemp Medical CenterIndependence, Louisiana
Internal Medicine - Provide HIV Care and Management at CareSouth Medical and Dental 3140 Florida Street Baton Rouge, Louisiana 70806 Phone: 225.650.2000 Provide HIV Care and Management at Lallie Kemp Medical Center 52579 Highway 51 South, Independence La, 70443-2231 Phone: 985 878 9421 Member American Academy HIV Medicine
Kevin L. Carr, MD, FACP, JD (candidate)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, MDSalisbury, 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, MDfinksburg, 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
Ramin Pirouz, MD, JDOwings, 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.
Susan E. Thompson, DO, FACEP, FAAEM, FACPElkton, Maryland
Emergency Medicine, Internal Medicine - Board certified Emergency Physician and Hospitalist with over 20 years clinical experience in academic, urban and rural healthcare settings. Experience in telemedicine, medical file review and case review, coding and independent medical examinations.
Robert E Burr, MD MSc FACP FACE Endo al Fresco LLCNorth Falmouth, Massachusetts
Endocrinology, Diabetes and Metabolism, Internal Medicine - Services: Clinical File Review; Background Research and Reviews in Internal Medicine, Environmental Medicine, Diabetes mellitus, General Endocrinology Areas of special expertise: Diabetes in the workplace; Occupational Illness and Toxicology; Environmental Illness and Injury; Environmental Endocrinology ABMS Diplomate: Internal Medicine, Endocrinology, Occupational/Environmental Medicine Training: Mayo Clinic, Rockefeller University, Massachusetts General Hospital; MSc in Occupational/Environmental Epidemiology Consultant Experience with US Army, SAIC, Battelle
Robert J Cooper, MDLongmeadow, 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.
Carlos R Guzman, MDNorth Andover , Massachusetts
Anesthesiology, Internal Medicine - Extensive experience in perioperative medicine due to dual board certification in Anesthesiology and Internal Medicine. This allows me to properly evaluate the clinical status of the patients before undergoing surgery and other invasive procedures. In my current position in an ambulatory surgery center, I review approximately 10-20 medical records per week. These medical record reviews are to decide if patients are currently medically optimized por surgery. The review includes notes from PCP, specialists, diagnostic laboratory and imaging reports, current medications, and other information.
Virginia H. Palazzo, M.D.Wellfleet, Massachusetts
Steven Paul Winkel, D.O., FACPEasthampton, 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 OEHNMarlborough, 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, MDRoyal 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.
Albert J Mercuri, MD, MBA, CPPS CentraCare HealthSaint 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 HospitalDuluth , 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, MDMinneapolis, Minnesota
Internal Medicine, Nephrology
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, MDDoniphan, 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, MDHastings, 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 NevadaHenderson, 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, PLLCNew 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 30 plus years in medicine. Experienced in file review for insurers, attorneys, and 3rd parties- Dr. Arpaia's areas of expertise include but are not limited to geriatric medicine, nursing home and eldercare. Preventative medicine, and chronic care medicine are also areas of expertise. Dr. Arpaia has been a touchstone for establishing best practices and standards of care and establishing disease management care plans for a variety of healthcare systems.
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, MDEdison, New Jersey
Wendy Gerstein, MD NMVAHCSAlbuquerque, 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.
Diego Escobar, MDNew Rochelle, New York
Laura Preece, DO Medconsult, LLCSyracuse, New York
Internal Medicine - Board-certified, Internal Medicine, Teaching Physician, Primary Care, EHR, Diabetes, Geriatrics, Medical Record Review, Legal Liability, Wrongful Death, Board-certified Obesity Medicine, Pre-OP Evaluation
Joan M. Crennan, MD, MPH,BSBRaleigh, North Carolina
Infectious Disease, Internal Medicine - Board Certified in Infectious Disease and Internal Medicine and practiced clinical medicine through 2008. I subsequently practiced Disability Medicine. I held several federal positions, evaluation both active duty soldiers and veterans. I also worked as a consultant for the SSA disability program. I have reviewed thousands of medical files in these jobs.
Madhu Kandarpa, MD, MRCP (UK), FASN Core Nephrology LLCDayton, 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., MPHCINCINNATI, 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, MDBeachwood, 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 FACCWashington CH, Ohio
Cardiovascular Disease, Internal Medicine
Charlyce Davis, MD MBA SSM HealthOklahoma City, Oklahoma
Carl C. Balog, MDTigard, 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, MDEugene, 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
Stephanie Kao, MD, MPHWynnewood, 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 CenterNewtown , 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.
Frank L Brown, Jr, MD, FACP, FACEP, FRSM, FCP(E) AMERICLIN CONSULTINGBluffton, 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.
Yasmine S. Ali, MD, MSCI, FACC, FACP LastSky Writing, LLCAshland 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.
MOSES ADERANTI, MD SPEARMED MEDICAL PLLCPEARLAND, 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, MDArlington, 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 DallasDallas, 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, MDThe Woodlands, Texas
Internal Medicine - Fluent in Spanish and Russian
Ajani W. Mason, M.D.Houston, Texas
Internal Medicine, Hospice and Palliative Medicine - Experience serving on hospital Ethics, Physician Advisory, Medical Executive, Physician Wellbeing, and Credentials committees. Physician of The Year recipient in 2022 and Physician of The Year nominee in 2021 at Memorial Hermann Greater Heights Hospital. Exceptional skills in and knowledge about hospice/palliative care, prognostication, pain & symptom management, advance care planning, medical ethics, and medical-legal decision-making. Additional knowledge & experience in hospital medicine as well as general internal medicine. More than average knowledge pertaining to physician burn-out.
Ijeoma C Nwelue, MDColleyville, 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, MDAllen, Texas
Faisal Rahim, MDGrand Prairie, Texas
Linda Roley, MD, MBAAustin, 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, PADallas, 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 PartnersEl Paso, Texas
Mark S Boutros, MDAlexandria, 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 CardiomedlegalGlen Allen, Virginia
Cardiovascular Disease, Emergency Medicine, Internal Medicine, Interventional Cardiology - University of Pikeville Interventional Cardiology Faculty
Kristina RB Kratovil, BS, MDVirginia Beach, Virginia
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)
You can also find Internal Medicine File Review Consultants who are licensed in:Texas, Tennessee, New Jersey, Florida, Connecticut, Oregon , California, Virginia, Arizona, South Carolina, Massachusetts, Louisiana, Maryland, Delaware, Michigan, North Carolina, Oklahoma, Nebraska, New York, Georgia, Illinois, Colorado, New Mexico, Indiana, Ohio, Pennsylvania, Missouri, Minnesota, and Nevada