About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Nisha Ann D'Mello serves as a trusted medical specialist. Practicing in Scarborough, ON, she provides comprehensive care in Internal Medicine and Geriatric Care. Her practice is committed to delivering high-quality, patient-centered healthcare to adults, including seniors, in accordance with the standards set by the College of Physicians and Surgeons of Ontario (CPSO). She focuses on diagnosing, managing, and preventing complex medical conditions prevalent among the adult and elderly populations.
Dr. D'Mello graduated with a Medical Degree from the University of Ottawa in 2001. She has completed extensive postgraduate medical training, including residencies and certifications in Internal Medicine and Geriatric Medicine. Her training emphasizes evidence-based practices and continuous professional development to ensure she provides up-to-date and effective medical care.
Her clinical philosophy is rooted in a professional and clinical approach, emphasizing thorough assessment, personalized treatment plans, and compassionate patient engagement. She is dedicated to serving the Scarborough community and speaks English fluently, ensuring clear communication and understanding with her patients.
Dr. D'Mello provides expert care for adults with a wide range of medical conditions, including:
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.
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Geriatric Syndromes & Focused Elder Care
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
Dr. D'Mello 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- 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.
- 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.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
Note: This list represents some of the key services offered by Dr. D'Mello. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. D'Mello'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. D'Mello's practice is located in areas near the central Scarborough neighborhood of Scarborough. The location is easily accessible via local public transit, including bus and subway routes serving the area. The practice is situated near local points of interest such as Scarborough Town Centre and Scarborough General Hospital. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. D'Mello? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. D'Mello 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. D'Mello. 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.
- What kind of tests might Dr. Nisha Ann D'Mello order?
- Depending on your specific medical situation, Dr. D'Mello 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). She will explain why any tests are being recommended.
- Why is reviewing multiple medications (polypharmacy) important?
- As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.
410-325 Milner Ave
Scarborough, ON M1B 5N1
Phone: (416) 284-4744 | Fax: (416) 284-0141
The facility is wheelchair accessible.
Dr. D'Mello 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/DMello-Nisha-Ann/0181347-76270