Henri Balaguera, MD
Internist
73 Front St
Shirley, MA 01464
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Availability last updated 05/20/2026
Henri Balaguera, MD
Internist
73 Front St
Shirley, MA 01464
Spiros Mitsopoulos
Internist
445 Cypress St
Unit 9
Manchester, NH 03103
Rabiah Rafique, MD
Internist
300 Baker Ave, Suite 300
Concord, MA 01742
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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
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
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.
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.
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.
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.
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.
Dr. Kinya Kamau, MD
Internist
44 Bearfoot Road
Suite 200
Northborough, MA 01532
Jing Yu, MD
Internist
6 Essex Center
Suite 201
Peabody, MA 01960
Robert Master, MD
Internist
9a Forest Street
Cambridge, MA 02140
Dr. Markus Frank, MD
Internist
9 Brewer Street #11
Cambridge, MA 02138
Awais Alam, MD
Internist
55 Highland Ave Ste 304
Salem, MA 01970
Yelyzaveta Prysyazhnyuk, MD
Internist
6 Liberty Square
2142
Boston, MA 02109
Dr. Nasir Bhatti, MD
Internist
40 Willard St Ste 103
Quincy, MA 02169
Hanna Halibus, APRN, FNP-C, is a compassionate and experienced Family Nurse Practitioner at Norwood Medical Associates in Norwood, Massachusetts, offering personalized, evidence-based care for patients. With a strong background in both primary care and rehabilitation settings, she is dedicated to improving patient outcomes and promoting long-term wellness.
Hanna earned her Master of Science in Nursing from Regis College and is board-certified as a Family Nurse Practitioner. She also holds a Bachelor of Science in Nursing from UMass Lowell. For a decade, she worked as a registered nurse in subacute and long-term care facilities, gaining hands-on experience and building strong relationships with her patients and their families.
Today, she brings that same dedication and empathy to her role at Norwood Medical Associates, where she treats a wide range of acute and chronic conditions while emphasizing preventive care and patient education. She is passionate about empowering patients to take control of their health through personalized care plans and ongoing support.
A proud member of the American Association of Nurse Practitioners, Hanna stays current with the latest medical advancements to ensure high-quality care. She is bilingual in English and Russian, helping to serve a diverse patient population with warmth and understanding.
Whether you're managing a chronic illness or seeking routine wellness care, Hanna is here to support your health goals with expert, compassionate care in Norwood.
Hanna Halibus
Nurse Practitioner
95 Chapel St.
#3a
Norwood, MA 02062
Savitha Gowda, MD, is a board-certified internal medicine specialist at Norwood Medical Associates in Norwood, Massachusetts. She is certified by the American Board of Internal Medicine and has decades of experience.
Dr. Gowda has been practicing medicine in Norwood since 1998. She was raised in a large family in India, growing up with many family members who suffered from diabetes complications. Her mother donated a kidney to her father, but he eventually succumbed to his illness. All of this influenced Dr. Gowda’s decision to practice medicine.
She earned her medical degree at Bangalore University in India and completed a residency in internal medicine at Newton-Wellesley Hospital in Newton, Massachusetts, and St. Raphael Hospital in New Haven, Connecticut.
Dr. Gowda has been ranked a Top Doctor for the last 13 consecutive years. She also received the Boston Magazine Top Doctor Award, America’s Top Doctor Award, and Top Geriatrician. She is a member of the American Medical Association, Massachusetts Medical Society, and American College of Physicians.
Dr. Gowda enjoys helping her patients improve their lives through general health awareness, improved lifestyle habits, and convenient access to their medical provider. She’s constantly involved in optimizing primary care. Dr. Gowda is grateful to her patients for their respect and trust.
She understands the importance of superior health care for improving the quality of life and preventing severe complications. She knows her patients well, makes them feel comfortable during their appointments, and treats them with respect and compassion. Dr. Gowda is thorough, providing comprehensive primary care services in a state-of-the-art facility.
When not working with patients, Dr. Gowda enjoys traveling around the world, learning about different cultures, reading books, gardening, and watching movies. She supports numerous local charities that improve health care, hunger, and education.
Dr. Gowda enjoys improving the lives of new and existing patients and welcomes them to Norwood Medical Associates.
Dr. Savitha Gowda, MD
Internist
95 Chapel St.
#3a
Norwood, MA 02062
Yan Tan, MD
Internist
300 Congress Street
Suite 203
Quincy, MA 02169
Madhvendra Singh, MD
Internist
340 Wood Road
Suite 203
Braintree, MA 02184
Chandra Matadeen-Ali, MD
Sleep Medicine Physician
375 6th St
Dover, NH 03820
