The Doctor Will See You Now: In Your Living Room
Dr. Priyanka Chopra and Dr. Vikas Goswamy speak with Miami Living about the family experiences behind Nivaan Health, their approach to in-home care in Miami, and the value of a familiar voice.
For Dr. Priyanka Chopra and Dr. Vikas Goswamy, the challenges of coordinating medical care became painfully familiar when Goswamy’s father suffered a heart attack and later received a cancer diagnosis. Even with their medical training and professional connections, managing his care from another state proved exhausting.
A medically complex pregnancy and a first year of specialist appointments for their son, Nivaan, deepened that understanding. Sitting in waiting rooms as a mother, Chopra found herself wishing for someone who could see the whole picture and help her family navigate it.
Named after their son, Nivaan Health brings those priorities to an in-home medical practice serving Miami. Its model combines home visits, around-the-clock physician access, and coordination with specialists. Chopra, who is board-certified in internal medicine, leads clinical care. Goswamy, an emergency physician by training, co-founded the practice and runs it alongside her.
In this conversation with Miami Living, the founders discuss patient advocacy, the responsibilities families carry, and why a health goal should begin with the life someone wants to lead.
Miami Living (ML): What did caring for your own family reveal about the healthcare system?
Dr. Vikas Goswamy: I watched my father become a case number. Good physicians, every one of them. But he had more specialists than anyone could track, and none of them were talking to each other. We are physicians, and we still felt locked out of his care.
We had every advantage. We knew the specialists personally. We could call department chiefs and hospital executives in New York and Miami, and they picked up. It was still exhausting. If it is this hard for us, what is it like for everyone else?
ML: Why name the practice after your son?
Dr. Chopra: Nivaan is our son. I had a medically complex pregnancy, and his first year brought more appointments, more specialists, and more waiting rooms than any new parent expects. I sat in those rooms as a mother, not a physician, wishing someone would take my hand and say, “I have this.”
His name on the door is a promise. We fight for every member the way we fought for him.
ML: What does advocacy look like in your day-to-day work?
Dr. Chopra: Advocacy first. Navigation second. We are in the room asking the questions you did not know to ask, and we coordinate every scan, specialist, and result. A dear friend and member lives between New York and Miami. Within two weeks of a first symptom, there was imaging, a biopsy, a diagnosis, and treatment underway at Memorial Sloan Kettering. We handled every step across both cities. The family’s only job was to be a family.
ML: You set a limit of 100 members per physician. What does that allow you to do?
Dr. Chopra: Our cap is 100 members per physician. Not one more. Many physicians care for 2,000 patients or more. At 2,000, your physician knows your chart. At 100, I know how you live: your history, your family, the way you describe pain. I have been in your home. I never need a chart to remember who you are.
ML: Why bring medicine into the home?
Dr. Chopra: Home tells you what a clinic never will: how you sleep, who cooks, what is in the medicine cabinet, how many stairs you climb. You cannot practice whole-person medicine from behind a desk. For members in their forties and fifties running companies and families, it gives back hours. No commute, no waiting room. We come to you, on your schedule.
And when someone needs more, we bring a network of vetted resources: nurses, physical therapists, mental health therapists. After a stroke or surgery, that can mean 3 to 12 hours a day of therapy and nursing, so you recover in your own bed.
ML: What happens when a member calls in the middle of the night?
Dr. Chopra: Call us at 2 a.m. and you reach your physician. No nurse line. No assistant. No one in between. The person who picks up already knows you and has usually sat at your kitchen table.
ML: How does your emergency medicine background inform the practice, Dr. Goswamy?
Dr. Goswamy: Medicine has two speeds. Most practices are built for the slow one. Families remember the fast one: a fall, chest pain, a fever in the middle of the night. Nivaan was built for both, with a physician board-certified in emergency medicine on the care team who already knows your history.
ML: Where do you begin when getting to know a member?
Dr. Chopra: With your goals, not your chart. Every visit starts with one question: what do you want your health to let you do? Then we build the milestones and the blueprint to get there.
One member, 83, stopped driving after a frightening accident. She did not just lose a car. She lost her independence. Her goal was to drive again. We built her plan at home, around her own stairs and her own driveway. Nine months of physical therapy and measured milestones later, she passed her driving test.
Dr. Goswamy: What mattered most to her was the car keys, and what came with them: her function and her autonomy.
ML: Longevity has become a major part of the wellness conversation. How do you approach the emphasis on testing and data?
Dr. Chopra: Data is only the start. A chief executive came to us with nothing wrong. They wanted sharper thinking, more energy, and more muscle. We measured attention span, short- and long-term memory, a full hormonal panel, and body composition, then set daily, monthly, and quarterly targets, with supplements chosen for their biology. Within a year, their biomarkers, energy, focus, attention, and memory had all improved. Numbers are not the finish line. You should feel it. If you do not feel better, we have not done our job.
A test without a physician is just a number, and some numbers create more anxiety than answers. We decide what is worth doing, and we tell you what it means.
ML: You often hear from adult children seeking help for their parents. What are they asking for?
Dr. Chopra: Sometimes the daughter lives in New York. Sometimes the son lives fifteen minutes away, with a career, children of his own, and no hours left in the day. He loves his parents. He cannot be their care coordinator. We can. We see his parents at home, join the specialist appointments virtually, ask the hard questions, and call him afterward.
Dr. Goswamy: Families bring us in for one thing above all. Peace of mind.
ML: What is next for Nivaan?
Dr. Chopra: Most people track their steps more closely than their memory. We think that is backwards. A longevity program for the brain. Brain health is a particular passion of mine: not only preserving function, but protecting your memory, your focus, your attention. Those are what make you, you.
ML: What do you hope your son’s name comes to mean to the people you care for?
Dr. Chopra: That someone answered. Whether you are chasing your best decade or facing your hardest night, someone who knows you picks up and says, “I have this.”
Closing invitation
Whether you are calling for yourself or for someone you love, this is your invitation. Dr. Chopra holds a small number of private introductory conversations each month. Call 786-475-2812 or visit nivaan.health, and mention Miami Living.
Nivaan Health serves members in Coral Gables, Coconut Grove, Brickell, Pinecrest, Miami Beach, and surrounding neighborhoods. @nivaan.health5010 S Le Jeune Road, Coral Gables, FL 33146