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Board-certified osteopathic physician who specializes in Infectious Disease, Wound Care, Undersea (Dive) and Hyperbaric Medicine, and Natural Pain Management - with the use of Osteopathic Manipulative medicine and other modalities. He runs a multidisciplinary medical practice with primary interest in Natural Pain Relief

 Dr. Ava Karimi is a Board-Certified Internal Medicine Physician with an MD/MBA, blending clinical excellence with strategic leadership to deliver patient-centered, value-based care. At Southwest Mind and Body, she specializes in medical weight loss programs and functional medicine, helping patients achieve sustainable, whole-body wellness through personalized, integrative care.

Her background spans complex case management, quality improvement, and community-based preventative medicine, with a strong focus on chronic disease management and reducing disparities in care. She also holds advanced training in aesthetic medicine, complementing her holistic approach to patient wellness.

Her MBA shapes how she leads: identifying systemic inefficiencies, building collaborative teams, and implementing solutions that elevate both patient outcomes and operational performance. She is recognized for teaching excellence and a deep commitment to mentoring the next generation of physicians.

Board-Certified Internal Medicine Physician
Founder & CEO – Midwest Wellness & Wound Care

Dr. Kinya Kamau, MD, is a Board-Certified Internal Medicine physician and the Founder and Chief Executive Officer of Midwest Wellness & Wound Care, a physician-directed multi-state medical organization specializing in mobile wound care, chronic disease management, and telemedicine services.

With more than 20 years of clinical experience, Dr. Kamau has dedicated her career to improving outcomes for medically complex patients through evidence-based care delivered directly at the bedside. Her work focuses on patients living with chronic wounds, diabetes, vascular disease, mobility limitations, and other conditions that interfere with healing.

Dr. Kamau leads a physician-directed wound care program that delivers advanced bedside wound management in skilled nursing facilities, assisted living communities, rehabilitation centers, and private residences across multiple states. Her model integrates Internal Medicine expertise, regulatory compliance, and structured clinical workflows to improve healing outcomes while supporting healthcare facilities with Medicare-aligned documentation.

Her mission is simple but powerful: provide compassionate, evidence-driven care that restores health, mobility, and dignity for patients living with chronic wounds.

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Professional Credentials

Dr. Kamau brings more than two decades of medical experience in Internal Medicine and complex chronic disease management. Her clinical background includes extensive experience caring for medically fragile adults in hospital, outpatient, and post-acute care settings.

She has dedicated much of her career to treating patients with:

• chronic wounds

• diabetes

• vascular disease

• renal dysfunction

• mobility limitations

These conditions frequently impair wound healing and require a comprehensive medical approach.

Dr. Kamau earned her Doctor of Medicine degree from the University of Nairobi, where she developed a strong academic foundation in internal medicine, complex disease management, and patient-centered clinical care.

She later completed her Internal Medicine residency at the University of Oklahoma, where she refined her expertise in diagnosing and managing complex medical conditions affecting adult patients.

Following residency, Dr. Kamau completed advanced fellowship training in nephrology, expanding her expertise in:

• kidney disease

• hypertension

• electrolyte disorders

• metabolic conditions

• systemic illnesses that influence wound healing

Dr. Kamau currently maintains active medical licenses in multiple U.S. states, allowing her to oversee physician-directed wound care services across diverse healthcare environments including:

• skilled nursing facilities

• assisted living communities

• rehabilitation centers

• private residences

Through Midwest Wellness & Wound Care, she leads a multi-state physician wound care program designed to deliver advanced bedside wound treatment while maintaining strict alignment with Medicare documentation standards and regulatory compliance requirements.

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Quick Credentials Summary

Board Certification
Internal Medicine

Medical School
University of Nairobi – Doctor of Medicine

Residency Training
Internal Medicine – University of Oklahoma

Fellowship Training
Nephrology- University of Oklahoma

Clinical Experience
20+ years in Internal Medicine and complex chronic disease management

Clinical Focus

• Mobile wound care

• Chronic wound management

• Diabetic wound care

• Pressure injury management

• Post-acute care medicine

Practice Model

Physician-directed mobile wound care and telemedicine services

Practice Leadership

Founder & CEO – Midwest Wellness & Wound Care

Practice Settings

• Skilled nursing facilities

• Assisted living communities

• Rehabilitation centers

• Private residences

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Medical Education and Training

Dr. Kamau earned her Doctor of Medicine degree from the University of Nairobi, where she developed a strong foundation in internal medicine, complex disease management, and patient-centered clinical care.

She later completed her Internal Medicine residency training at the University of Oklahoma, where she further refined her expertise in diagnosing and managing complex medical conditions affecting adult patients.

Internal Medicine training provides a comprehensive understanding of the interconnected systems that influence healing. Conditions such as:

• diabetes

• cardiovascular disease

• kidney dysfunction

• malnutrition

• vascular compromise

frequently contribute to delayed wound healing.

Dr. Kamau’s training enables her to evaluate wounds within the full medical context of the patient rather than focusing solely on the skin surface. This systemic perspective forms the foundation of her approach to chronic wound management.

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Board-Certified Internal Medicine Expertise

As a Board-Certified Internal Medicine physician, Dr. Kamau approaches wound care through the lens of whole-patient medicine.

Chronic wounds rarely exist in isolation. They often develop because of underlying physiologic dysfunction that impairs tissue repair.

Common systemic contributors include:

• diabetes and poor glycemic control

• peripheral vascular disease

• venous insufficiency

• cardiac disease

• renal impairment

• malnutrition

• neuropathy

• immobility

• medication side effects

• chronic inflammation

By addressing these root contributors alongside local wound treatment, Dr. Kamau’s approach improves healing potential and reduces the risk of complications such as infection, hospitalization, or limb loss.

This integrated medical strategy is a key differentiator between physician-directed wound care and fragmented treatment models that rely solely on topical wound management.

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Founder of Midwest Wellness & Wound Care

Dr. Kamau founded Midwest Wellness & Wound Care to address a critical gap in post-acute medicine.

Many patients with chronic wounds live in environments where transportation to specialty wound clinics is difficult or unsafe. Skilled nursing residents, assisted living residents, and homebound individuals often experience delays in wound evaluation simply because they cannot easily travel to outpatient facilities.

The mobile wound care model solves this problem by bringing advanced wound care directly to the patient.

Under Dr. Kamau’s leadership, Midwest Wellness & Wound Care provides physician-directed bedside wound care services that allow patients to receive specialized treatment in the environment where they live.

This model improves:

• access to care

• early wound detection

• treatment timeliness

• interdisciplinary communication

• patient comfort and safety

It also allows physicians to observe real-world factors affecting wound healing, including mobility limitations, pressure exposure, nutritional status, and environmental risks.

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Multi-State Medical Practice

Dr. Kamau currently holds active medical licenses in numerous states across the United States, allowing her organization to expand access to physician-directed wound care services across diverse regions.

States where Dr. Kamau is licensed in over 40 states. 

Operating across multiple states requires a deep understanding of regulatory frameworks, payer policies, and state medical board requirements.

Dr. Kamau’s leadership includes oversight of:

• multi-state physician licensing

• Medicare credentialing

• payer enrollment

• corporate practice of medicine compliance

• telemedicine regulations

• Medicare Administrative Contractor policy alignment

This regulatory fluency allows Midwest Wellness & Wound Care to expand safely while maintaining strict compliance with healthcare laws and reimbursement guidelines.

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Mobile Wound Care: Bringing Advanced Treatment to the Bedside

Mobile wound care represents a major advancement in how chronic wounds are treated.

Traditional wound care models rely heavily on outpatient clinics or hospital-based services, which can create barriers for medically fragile patients.

Dr. Kamau’s physician-directed mobile wound care model places advanced wound care directly at the bedside.

Patients may receive care in:

• skilled nursing facilities

• assisted living communities

• rehabilitation centers

• long-term care facilities

• private residences

By eliminating transportation barriers, patients receive faster evaluations and more consistent follow-up.

Early intervention is one of the most important factors influencing wound healing outcomes.

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Chronic Wounds Treated

Dr. Kamau’s clinical program manages a wide range of wound conditions commonly seen in post-acute medicine.

These include:

Diabetic Foot Ulcers
Neuropathy, vascular compromise, and metabolic dysfunction contribute to tissue breakdown.

Pressure Injuries
Prolonged pressure restricts blood flow and damages tissue.

Venous Leg Ulcers
Venous insufficiency and edema lead to chronic lower extremity wounds.

Arterial Ulcers
Poor arterial circulation limits oxygen delivery to tissues.

Post-Surgical Wounds
Incisions may fail to heal due to infection or systemic illness.

Traumatic Wounds
Skin tears and injuries are common in elderly populations.

Chronic Non-Healing Wounds
Persistent wounds require a comprehensive medical approach.

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Structured Wound Evaluation

Every wound evaluation follows a standardized clinical protocol that includes:

• precise wound location documentation

• wound length, width, and depth measurement

• tissue type identification

• exudate evaluation

• periwound assessment

• infection surveillance

• perfusion evaluation

• pressure offloading strategies

This structured methodology supports accurate monitoring of wound progression and Medicare-compliant documentation.

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Advanced Wound Treatment Modalities

Treatment plans are tailored to each patient and may include:

• conservative sharp debridement

• antimicrobial dressings

• moisture-balance therapy

• collagen-based wound matrices

• compression therapy

• edema management

• negative pressure wound therapy

• cellular and tissue-based products when appropriate

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Medicare-Aligned Documentation

Providing wound care in long-term care environments requires careful adherence to Medicare documentation standards.

Dr. Kamau’s program emphasizes:

• medical necessity documentation

• CPT coding accuracy

• ICD-10 diagnosis specificity

• Local Coverage Determination adherence

• wound progression documentation

• treatment response monitoring

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Telemedicine Services

In addition to mobile wound care, Dr. Kamau oversees telemedicine services that expand access to medical care.

Services may include:

• primary care consultations

• chronic disease follow-up

• medication management

• behavioral health support

• preventive care evaluations

Telehealth allows patients to receive ongoing medical support between in-person visits while maintaining continuity of care.

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Commitment to Patient-Centered Care

At the center of Dr. Kamau’s work is a commitment to improving the lives of patients living with chronic wounds and complex medical conditions.

Frequently Asked Questions About Wound Care Physicians What does a wound care physician do?

A wound care physician specializes in diagnosing and treating chronic wounds such as diabetic foot ulcers, pressure injuries, venous leg ulcers, arterial ulcers, and non-healing surgical wounds. They provide advanced wound treatments, debridement procedures, and medical oversight to support healing.

When should someone see a wound care physician?

Patients should see a wound care physician when a wound does not improve after several weeks of standard treatment, or when conditions such as diabetes, vascular disease, or immobility increase the risk of delayed healing.

Can wound care physicians treat patients in nursing facilities?

Yes. Many wound care physicians provide bedside services in skilled nursing facilities, assisted living communities, rehabilitation centers, and private homes to ensure patients receive timely evaluation and treatment.

Bishwas Upadhyay, MD, is a board-certified internal medicine physician at Texas Primary & Pediatric Care in Irving & Celina, Texas. Dr. Upadhyay’s philosophy in medicine is to help the body care for itself. He strongly believes in the power of preventive medicine and places high importance on the doctor-patient relationship. He is known for being attentive and articulate, and finds joy in educating and counseling his patients. 

Dr. Upadhyay is originally from the Himalayan country of Nepal. He graduated from Nepalgunj Medical College in Nepal and completed his residency training in internal medicine at Presence Saint Joseph Hospital in Chicago, Illinois, where he served as a chief resident. Afterward, he joined the University of Nevada Reno School of Medicine as an assistant professor of medicine and later served as an academic hospitalist and associate program director for their internal medicine residency program. 

In addition to taking care of his patients in the hospital, Dr. Upadhyay also taught medical students and residents in both hospital and primary care settings. During his tenure as the associate program director at the University of Nevada, he developed a quality improvement and patient safety curriculum. He also coached and mentored residents in their quality improvement and patient safety projects. 

In addition to his board-certification, Dr. Upadhyay is a fellow of the American College of Physicians and received several awards and recognitions throughout his medical career. Dr. Upadhyay is fluent in English, Nepali, Hindi, and Urdu, allowing him to better serve the diverse patient populations in his community.

Outside of work, Dr. Upadhyay loves hiking, spending time with his family, and traveling. He is also an amateur cook.

Ravi Siripurapu, MD, is an experienced internal medicine physician and the founder of Medical Associates of North Texas in Fort Worth, Texas. He is dedicated to providing a wide range of primary care services for adults of all ages.

Dr. Siripurapu established Medical Associates of North Texas in 2015 to serve the Fort Worth community with the vision of providing quality patient-centered medical care. He graduated from the prestigious Andhra Medical College in India. After graduating, he flew across the globe to work in the Caribbean. Beginning in 1998, he trained and worked in the emergency room for five years in Jamaica, West Indies.

He completed his internal medicine residency in the United States at the Mount Sinai School of Medicine in New York, finishing in 2007. He then began practicing in a traditional internal medicine office in Riverside County, California. In 2010, Dr. Siripurapu moved to Lone Star State and proudly calls it home. He currently practices in Fort Worth's Medical District.

Dr. Siripurapi is fluent in three languages and is happily married with two wonderful children. In his free time enjoys swimming, music, and working with local non-profit organizations.

Suresh Kankanala, M.D., is a board-certified internal medicine physician, educator, and physician leader in Fort Worth, Texas. He provides outpatient care at Medical Associates of North Texas, seeing individuals at both the Fort Worth hospital district location and the Weatherford clinic, serving residents across Tarrant County, Parker County, and Johnson County, and also provides inpatient care at Baylor Scott & White All Saints Medical Center.

Dr. Kankanala serves as Associate Professor and Clerkship Director in the Department of Internal Medicine at the Burnett School of Medicine at Texas Christian University (TCU) and is Core Faculty for the Internal Medicine Residency Program at Baylor Scott & White All Saints Medical Center, reflecting his strong commitment to medical education and physician training.

Dr. Kankanala earned his medical degree from Andhra Medical College in Visakhapatnam, India, one of the oldest and most prestigious medical institutions in the country. He subsequently completed postgraduate training in general surgery at Guntur Medical College before moving to the United States, where he completed his Internal Medicine residency at Canton Medical Education Foundation in Canton, Ohio.

Since beginning his practice in Fort Worth in 2010, Dr. Kankanala has developed extensive experience managing complex and high-acuity medical conditions. In 2016, he co-founded Medical Associates of North Texas with Dr. Ravi Siripurapu with the goal of delivering comprehensive, patient-centered care to the community.

Dr. Kankanala previously served as Chief of the Department of Medicine at Baylor Scott & White All Saints Medical Center. In his outpatient practice, he focuses on building long-term relationships while managing both acute and chronic medical conditions. He emphasizes preventive care and proactive disease management to help individuals maintain their health and avoid hospitalizations. He also has a special interest in caring for complex internal medicine conditions, including pre- and post-operative as well as transplant-related medical issues.

Outside of medicine, Dr. Kankanala enjoys playing tennis and golf and following professional sports, particularly the NFL and NBA.

Welcome to SN Cardiovascular Associates, a premier cardiology practice with two locations in Fort Worth and one in Burleson, Texas.  

Our skilled cardiologist, Sanjeev Nair, MD, offers an array of services to men and women of all ages to optimize their heart health and minimize the risk of life-threatening complications. 

At SN Cardiovascular Associates, we care for people who need help managing atrial fibrillation, coronary artery disease (CAD), peripheral artery disease (PAD), and peripheral vascular disease (PVD), as well as high cholesterol and hypertension (high blood pressure). 

Dr. Nair also treats those with adult congenital heart disease. Patients struggling with chest pain, dizziness, heart palpitations, shortness of breath, and similar symptoms of heart or blood vessel problems can rely on Dr. Nair for outstanding care.

We complete comprehensive physical exams to find the cause of problematic symptoms and screen for early signs of a medical problem, focusing on preventive cardiology.  

SN Cardiovascular Associates also specializes in pre-operative consultations, stress testing, vascular ultrasounds, and vascular studies. 

Additional diagnostic tests available at SN Cardiovascular Associates include echocardiograms, electrocardiograms (EKGs), and Holter and event monitoring. We offer remote patient monitoring for added convenience, as well as second opinions. 

At SN Cardiovascular Associates, we truly care about your cardiovascular health, overall health, and well-being. We welcome new and existing patients and look forward to improving your well-being.

Schedule an appointment at SN Cardiovascular Associates by calling the office or booking one online today. 

Frank P. Jircik, MD is a Board Certified physician who serves as an internist to patients who live in the Burleson, Texas area. The doctor, nurse practitioner, and staff offer a variety of health care services to their patients. The doctor treats many health conditions including diabetes, asthma, dementia, heart disease, arthritis, and geriatric care. By using state of the art technology and the most accurate testing methods possible, the doctor can provide his patients with a complete diagnosis and an effective, individualized treatment plan.

Dr. Jircik graduated in 1981 from the University of Texas, Medical Branch in Galveston, Texas. He completed his residency in internal medicine at the University of New Mexico Hospitals where he received the Midas Touch Award. The doctor received his Board Certification in Internal Medicine in 1984. The doctor is a member of the Texas Medical Association as well as the Tarrant County Medical Society.

Dr. Asher Imam, D.O., F.A.A.N., is an experienced neurologist and neurophysiologist, specializing in neurology, clinical neurophysiology, vascular neurology, and sleep medicine. He is also the president and founder of Southlake Neurology & Neurophysiology Clinic in Southlake, Texas. 

At Southlake Neurology & Neurophysiology Clinic, Dr. Imam focuses on the diagnosis and treatment of acute and chronic neurological disorders, including epilepsy, multiple sclerosis, sleep disorders, and chronic headaches. He also served as the director of Baylor-Grapevine Comprehensive Epilepsy and Sleep Disorders Center in Grapevine, Texas. There, Dr. Imam treated patients with sleep and epileptic disorders while maintaining the integrity of the program by educating staff technicians and their certifications. He also served as a director of neurosciences at Baylor Scott and White Medical Center in Grapevine, Texas for 9 years where he started the stroke program. Dr. Imam also started the first stroke certified (Joint Commission) in Tarrant County at Medical Center of Arlington. He has been recognized as a Top Doctor by Fort Worth magazine and has received several awards for his compassionate approach to care and his dedication to patient satisfaction. Dr. Imam is a clinical adjunct professor of neurosciences at both TCU School of Sleep Medicine and UNT Health Science Center. 

Certifications:

• Diplomate in the specialty of Neurology

• Diplomate in the subspecialty of Clinical Neurophysiology

• Diplomate in the subspecialty of Vascular Neurology

• Diplomate in the subspecialty of Sleep Medicine

Education:

• Fellowship in Clinical Neurophysiology (neuromuscular disorders and epilepsy) from

• Medical College of Georgia; Augusta, Georgia

• Residency in neurology from Medical College of Georgia; Augusta, Georgia

• Internal medicine internship from Medical College of Georgia; Augusta, Georgia

• Doctor of Osteopathic Medicine from University of North Texas health science Center at Fort Worth, Texas

• Bachelor of Science in Electrical Engineering from Lamar University Beaumont, Texas

Years of experience:

•Over 20 years of both inpatient and outpatient experience treating a wide variety of neurological disorders.

•Awarded Fellowship of American Academy of Neurology (FAAN) in 2022.

Previous leadership positions:

• Director of Baylor-Grapevine Comprehensive Epilepsy and Sleep Disorders Center

• Director of Baylor-Grapevine Stroke Center of Excellence

• Director of Stroke Program at Medical Center of Arlington

Awards:

• Best of Readers’ Choice 2025
  
  
• Living Magazine’s Best of North Texas 2020 and 2021
  
  
• Top neurologist 2019
  
  
• Best of Physicians and Surgeons for 11 years in Southlake, Texas 2018
  
  
• America’s most honored profession 2018
  
  
• Patients’ choice award (Vitals) 2018
  
  
• Top Docs Texas Monthly 2015, 2018, 2019, 2020, 2021, and 2022
  
  
• Super Docs (Tarrant County Addition) March 2014
  
  
• People’s choice award for patient satisfaction (top 1% in patient satisfaction in the nation, July 2011)
  
  
• Physician of the month, July 2011, Baylor Medical Center
  
  
• Featured on ABC, CBS and NBC prime-time news
  
  
• Top Docs of Fort Worth Texas, 2009
  
  
• Alpha Epsilon Delta and Phi Beta Pi Honor societies
  
  
• AMA / MSS Outstanding membership recruitment award
  
  
• AMA / MSS Outstanding Student Sponsored Activity/ Service
  
  
• President, American Medical Association/ MSS UNTHSC chapter
  
  
• Delegate, American Medical Association/ MSS
  
  
• Delegate, Texas Medical Association/ MSS
  
  
• Student Rep, Tarrant County Medical Society
  
  
• Who’s who in Science and Engineering
  
  
• Who’s who in Professionals and Executives