Dr. Andrew James Perrella – Internist / Geriatrician | Mississauga, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Andrew James Perrella serves as a trusted medical specialist. Practicing in Mississauga, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. He is committed to serving adults, including older adults and seniors, with a warm and community-focused approach. Dr. Perrella adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe, ethical, and patient-centered care.

Dr. Perrella graduated with a Medical Degree from the University of Toronto in 2019 and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Medicine. His certifications reflect a dedication to lifelong learning and excellence in his field, enabling him to address complex adult health issues effectively.

His clinical philosophy emphasizes compassionate, holistic, and personalized care. He strives to build trusting relationships with his patients and their families, fostering a supportive environment where health and well-being are prioritized. Fluent in English, Dr. Perrella is dedicated to serving the Mississauga community with integrity and kindness.

Dr. Perrella provides expert care for adults with a wide range of medical conditions, including:

Management of Chronic Diseases

• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Complex Diagnostic & Multi-System Issues

• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.

Dr. Perrella manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.

Note: This list represents some of the key services offered by Dr. Perrella. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Perrella's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Perrella’s practice is located in the Churchill Meadows neighborhood of Mississauga, ON, within the vicinity of the University Hospital. The location offers convenient access for residents of Mississauga and surrounding communities. The practice is situated near Meadowvale Conservation Area at the southern edge, providing a peaceful environment for patients. Accessibility is supported by MiWay (Mississauga Transit), ensuring easy transit options. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Perrella? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Perrella are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Perrella. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

How long should I expect my appointment to last?

Initial consultations with Dr. Perrella are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods. During busy times, wait times may vary, but Dr. Perrella strives to provide timely and thorough care.

What is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Perrella uses this holistic approach to develop a personalized care plan.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss (Delirium Prevention & Management), and polypharmacy (multiple medications). Dr. Perrella, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.

University Hospital
B9-108, 2200 Eglinton Avenue West, Division of General Internal Medici
Mississauga, ON L5M 2N1

Phone: (905) 813-1100 | Fax: (905) 813-3855

The facility is wheelchair accessible.

Dr. Perrella is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Perrella-Andrew-James/0327930-118519