Dr. Anil Kumar Nagpal – Internist / Geriatrician | Kitchener, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Anil Kumar Nagpal serves as a trusted medical specialist. Practicing in Kitchener, ON, he provides comprehensive care in Internal Medicine and Geriatric Care, focusing on the health and well-being of adult patients, including seniors. His approach emphasizes patient-centered, holistic management tailored to individual needs, ensuring adherence to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Nagpal graduated with a Medical Degree from the University of Nairobi in 1986, Kenya, and has completed extensive post-graduate medical training in internal medicine and geriatrics. His certifications and ongoing professional development ensure he remains current with the latest clinical practices and guidelines, enabling him to deliver expert care for complex health conditions.

He is committed to providing clear and educational communication, helping patients and their families understand their health conditions and treatment options. Fluent in English, Hindi, Punjabi, and Swahili, Dr. Nagpal strives to make healthcare accessible and respectful of diverse cultural backgrounds. He is dedicated to serving the community of Kitchener and the surrounding areas with compassion and professionalism.

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

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• 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.

Management of Chronic Diseases

• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.

Dr. Nagpal 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.

• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).

Note: This list represents some of the key services offered by Dr. Nagpal. 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. Nagpal's scope of practice, please discuss with your referring physician.

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

Dr. Nagpal's practice is located in the Forest Heights area of Kitchener, within the Avenue Medical Centre. The clinic is situated near the Homer Watson House & Gallery, making it easily accessible for patients in the community. Patients can reach the clinic via Grand River Transit (GRT), including bus routes and the ION Light Rail. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Nagpal 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. Nagpal. 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 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 (Frailty Assessment & Management), and polypharmacy (multiple medications). Dr. Nagpal, 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.

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. Nagpal uses this holistic approach to develop a personalized care plan.

What exactly does an Internist (Internal Medicine Specialist) do?

An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems (Urinary Incontinence Assessment, Cognitive Impairment & Dementia Syndromes), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.

What kind of tests might Dr. Nagpal order?

Depending on your specific medical situation, Dr. Nagpal may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

Avenue Medical Centre
564 Belmont Avenue West
Kitchener, ON N2M 5N6

Phone: (519) 576-8080 | Fax: (519) 576-8619

The facility is wheelchair accessible.

Dr. Nagpal 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/Nagpal-Anil-Kumar/0050247-64226