Patients Medical

Carnegie Hill, Upper East Side · Integrative and functional medicine practice

A long-running integrative practice on Fifth Avenue at 96th Street, built around a first visit that runs one to two hours instead of ten minutes. Dr. Rashmi Gulati has been medical director since 2004, and the practice she inherited traces back to Dr. Warren Levin. The menu is wide (hormones, thyroid, fatigue, gut, chelation and ozone, IV drips, plus a GLP-1 weight-loss membership) and the pricing is the frustrating part: the first-visit page quotes the initial consultation at two different amounts in the space of three paragraphs.

Who you would see Rashmi Gulati, MD

Where1148 Fifth Avenue, Suite 1B, New York, NY 10128 (enter on Fifth Avenue at 96th Street)

Who operates it

The care team

Who would actually see you, and what they trained in.

Medical Director

Rashmi Gulati, MD

Published qualifications

The practice says she has been medical director at Patients Medical since 2004, completed a pathology residency at Rohtak Medical College in India and an internal medicine residency at St Joseph Medical Center in Chicago and Orlando Regional Medical Center, trained with the American College for Advancement in Medicine, and is a certified DAN (Defeat Autism Now) physician. Recorded as the practice states it.

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Medical Director Rashmi Gulati, MD, in the role since 2004, per the practice

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Gynecology Emine Cosar, MD, over 20 years as a gynecologist, per the practice

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Pain management Stuart Weg, MD, 30 years in anesthesiology and pain management, per the practice

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Named team Three physicians on the page we could read. The main site's menu lists two more people whose pages we could not read this run.

Emine Cosar, MD

Gynecologist and obstetrician
MD

Stuart Weg, MD

Pain management physician
MD

The practice's two websites name different teams. The physicians page we could read lists Dr. Gulati, Dr. Cosar and Dr. Weg. The main site's navigation also lists Dr. Kulsoom Baloch and John Pillepich, PhD, CPhT, whose pages we could not read this run, so nothing about them is recorded here.

Team, training and credentials as described by the clinic on its website.

Start with the outcome

What this clinic can help you evaluate or manage

Plain-language goals come first. The clinic’s named tests, treatments and programs stay below for people who want the technical detail.

The practice describes blending evidence-based Western medicine with traditional Eastern paradigms and hunting the root cause, and much of its menu is infusion-room and procedural: ozone, hydrogen peroxide, UV blood irradiation, chelation and exosome IVs.

Medical weight loss

Physician-supervised weight care, including GLP-1 programs.

A physician-supervised GLP-1 programme with a published monthly membership price, monthly labs and an insurance advocate to chase medication coverage.

Midlife & menopause

Separate hormonal change from everything else it gets blamed for.

Menopause treatment, bioidentical hormone pellets and holistic gynecology are published alongside a gynecologist with over 20 years in the field, per the practice.

Hormones & energy

Understand why you feel off, and what is treatable.

Hormone and thyroid work is the centre of this practice: testing, bioidentical prescriptions, pellets for women and testosterone treatment for men are all published services.

Gut & digestive health

Investigate persistent gut symptoms with real testing.

Stool and gastrointestinal testing sit on the testing menu, and digestive issues are a published treatment area.

Immune, inflammation & complex symptoms

Give unresolved or multisystem symptoms a longer, coordinated workup.

Lyme disease, autoimmune and chronic fatigue treatment are published treatment areas, and the pain physician's page describes long workups for symptoms that have not resolved elsewhere.

Environmental exposures

Assess heavy-metal and toxin exposure concerns with clear evidence labels.

Heavy metal, toxin level and mold testing are published, with chelation and detoxification treatments on the same site.

What they do

Services explained

Plain-language groupings help make different clinic service menus easier to understand and compare.

Hormones and thyroid

The core of the practice. Hormone and thyroid work, tested first and then treated, including pellets and bioidentical prescriptions.

Bioidentical hormone replacement therapyBioidentical hormone pellets for womenTestosterone deficiency treatmentThyroid treatmentMenopause treatmentHormone testingThyroid testing

Testing and diagnostics

The lab side. Functional panels rather than a standard annual physical, ordered against your symptoms.

Genetic DNA testingHeavy metal and toxin level testingStool and gastrointestinal testingMetabolic testingMold testingLyme disease testingNeurotransmitter testingOrganic acid and methylation testingVitamin and fatty acid testing

IV and injection therapies

Infusion-room therapies. Several of these (ozone, hydrogen peroxide, UV blood irradiation, chelation) sit outside mainstream practice, and the practice publishes no price for any of them.

IV vitamin therapyNAD+ IV therapyGlutathione IVOzone therapyHydrogen peroxide IV therapyUltraviolet blood irradiationChelation therapyExosome and stem cell IV therapyKetamine IV therapy

Weight, metabolic and men's or women's health

Programme-shaped care, most of it built around the monthly weight-loss membership.

GLP-1 medical weight loss (semaglutide, Ozempic, Wegovy, Mounjaro)Peptide therapyErectile dysfunction treatmentAcoustic pressure wave treatmentHolistic gynecology and women's wellnessHair loss treatmentBotox wrinkle treatment

Care model

How a visit actually runs: allow one to two hours, expect about an hour with the physician, leave with a protocol sheet.

One to two hour initial visit with a written protocol sheetSupplement therapyNutritional and dietary guidanceHyperbaric oxygen therapyAcupuncture, craniosacral therapy and massage

Pricing and payment model

What the clinic publishes

Initial office visitNot publishedThe first-visit page gives two figures for the same thing: "$400 to $500" in one paragraph and "the initial office visit cost of $200 to $400" a few paragraphs later. We show neither.

Weight-loss membership (GLP-1 programme)$138 per month, or $1,656 paid at the startPublished on the Pricing page as the normal membership fee. A promotional rate is quoted on the same page as both $100 and $99 a month, so no promo price is shown.

Generic semaglutide dispensed at the clinic$399 per monthPricing page, for patients whose insurance will not cover the branded medication; the medication cost is not part of the membership.

Blood draw in the office$35Pricing page, for the weight-loss programme's monthly labs. $0 if you use an outside lab such as LabCorp or Bio-Reference.

Before you book:

$99 non-refundable. Cancelling the weight-loss membership, "Cancellation fee is only one month's subscription or $99.00". Published on the Pricing page. The same page puts the normal monthly membership at $138, so "one month's subscription" and "$99.00" do not line up. Recorded as a fee, never as a price for care.

Every figure above carries the billing basis the clinic published with it. Prices reflect clinic-published information and may change. Confirm inclusions and current fees directly with the clinic.

Recognition & affiliations

Published signals beyond the physician

Clinic-level memberships, institutional relationships and published positions. Physician training and board-certification claims are shown in the care team above.

Board Certified in Anesthesiology and Pain Management, American Board of Anesthesiology (Dr. Weg) · Stated by the practice on its physicians page. We record credentials as the practice publishes them and check no board.Certified DAN (Defeat Autism Now) physician (Dr. Gulati) · Stated by the practice on its physicians page.

Before you go

Practical information

Important planning details gathered from clinic-published information. Confirm anything that may affect your visit directly with the clinic.

InsuranceOut of network, and you pay at the desk. The practice hands you a receipt and a Form 1500 to send to your insurer yourself, says PPO plans often reimburse a large share, and states plainly that it is not part of any HMO network. Separately, the practice says Dr. Cosar accepts Medicare and Aetna.Confirm coverage and reimbursement requirements before booking.

TelehealthNot publishedAvailability can depend on the service and patient location.

Accepting patientsMonday to Thursday, 8:30 AM to 5:00 PM, per the practice's contact pageContact the clinic to confirm current scheduling.

ParkingNot publishedConfirm access details before your first visit.

Location1148 Fifth Avenue, Suite 1B, New York, NY 10128 (enter on Fifth Avenue at 96th Street)Clinic-published address.

Phone(212) 794-8800Use for scheduling and practical questions.

Published pricing$138 a month for the weight-loss membership; the initial visit price is published twice, with two different figuresSee the pricing section for inclusions and caveats.

AccessibilityNot publishedAsk the clinic about building and examination-room access.

Getting inEnter on Fifth Avenue at 96th StreetThe practice publishes the entrance detail with the address, which helps on a block where the door is not obvious.

PayingCredit card, cash or check at the front deskYou pay at the end of the visit and are handed a receipt and a Form 1500 to file with your insurer yourself.

Bring with youPrior records, a list of medications and supplements, and your insurance cardPublished as a checklist on the first-visit page.

Bring this list

Questions worth asking this clinic

Drawn from what the clinic’s own materials leave open. Useful for a first call or consult.

What does the first visit actually cost? The site says $400 to $500 in one place and $200 to $400 in another?

Is the weight-loss membership $138, $100 or $99 a month right now, and what is the cancellation fee if the subscription is $138?

Which of the IV and ozone therapies do you offer, and what does each session cost?

Are Dr. Baloch and John Pillepich still with the practice, and what do they do?

Do you offer video visits, and are they priced the same as an in-person visit?