FishtownFish wrapped around the rod of AsclepiusMedicine
Philadelphia Primary Care
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A deeper kind of primary care

Prevention-focused, integrative care with longer visits, direct physician access, and a plan tailored to the full picture, for a simple monthly fee.

Book a Free 20-Minute Intro Call
Board-certified internal medicine·Philadelphia, PA
4.96(124+ reviews)

How direct primary care works

A simpler model: you pay a monthly fee directly, and in return you get a real relationship with your doctor.

1

Join with a monthly membership

One clear price. No copays, no surprise bills, no insurance hassles for your primary care.

2

Get direct access to your physician

Longer visits, same-week availability, and direct messaging with Dr. Ash for your routine primary care needs.

3

Use insurance for everything else

Keep your insurance for hospital care, imaging, specialists, and prescriptions. We help coordinate it all.

What you actually get

Not just easier access. More thoughtful, preventive care from a physician who knows your full story.

Same-week or next-day visits

No more waiting weeks for an appointment.

Direct messaging with your physician

Text or message Dr. Ash directly. No phone trees, no waiting on hold.

Longer, unhurried appointments

45 to 90 minute visits so your concerns are actually heard and addressed.

Prevention and longevity focus

Proactive screening, metabolic health, and root-cause thinking. Not just reacting when something breaks.

Clear, upfront pricing

One monthly fee. No copays, no surprise bills, no hidden costs from us.

Labs, specialists, and care coordination

We help coordinate labs, referrals, and specialist visits, and make your insurance work for you.

Simple, transparent pricing

One membership. Everything included. No surprise bills from us.

HealthSpan Partnership

$2,500/year

$208/mo equivalent · billed annually

Unlimited messaging with Dr. Ash
Same-week or next-day appointments
45 to 90 minute visits
Preventive screening and longevity planning
Metabolic, hormone, and cardiovascular optimization
Care coordination for labs, imaging, and specialists
Home visits when clinically needed
Virtual visits in 41+ states
Book a Free Intro Call

HSA/FSA eligible. 100% of your membership qualifies.

No initiation or cancellation fees. Cancel anytime.

Insurance still recommended for hospital, ER, specialist, and prescription coverage.

Partner/spouse discount: $195/month.

Meet Dr. Ash

Ashvin Vijayakumar MD (Dr. Ash), Philadelphia preventive medicine physician

Ashvin Vijayakumar MD (Dr. Ash)

Board-Certified Internal Medicine · Philadelphia, PA

Dr. Ash built Fishtown Medicine because he believed primary care should be more than rushed 10-minute visits and fragmented follow-ups. With a background in internal medicine and a focus on preventive and integrative health, he takes the time to understand each patient's full picture: metabolic health, cardiovascular risk, hormones, energy, and the signals that most doctors don't have time to investigate.

The direct primary care model lets him practice the way medicine should work: fewer patients, longer visits, and a genuine partnership focused on keeping you healthy, not just treating you when you're sick.

Is this a good fit for you?

This may be right for you if…

You want easier, more direct access to your doctor
You prefer prevention and relationship-based care
You have ongoing health goals that benefit from continuity
You're tired of rushed visits and fragmented care
You want a physician who looks at the full picture

This may not be the best fit if…

You only want occasional urgent-care-style visits
You need your primary care fully billed through insurance
You expect hospital, ER, or specialist costs covered by the membership
You need pediatric care (under 18) or obstetric care

Frequently asked questions

We don't bill insurance for our direct care services (visits, messaging, consults). That's what lets us offer longer visits and real access. For everything else (labs, imaging, medications, specialists) we help your insurance work for you. Your membership is 100% HSA/FSA eligible.

Yes. We coordinate labs, imaging, and specialist referrals and help route them through your insurance whenever possible. Dr. Ash's background in value-based care means we know how to make your existing benefits work.

Unlimited messaging with Dr. Ash, same-week or next-day appointments, 45 to 90 minute visits, preventive screening and longevity planning, metabolic and cardiovascular optimization, care coordination, home visits when clinically needed, and virtual visits in 42 states.

For true emergencies, go to your nearest ER. For urgent but non-emergency issues, message or call Dr. Ash directly. Members have same-day access for acute care needs like infections, injuries, and urgent concerns.

Yes. Members can text or message Dr. Ash directly. No phone trees, no waiting on hold, no playing telephone with office staff.

Yes to all three. We specialize in preventive care, metabolic health, hormone optimization, and cardiovascular risk management. We offer a partner/spouse discount, and the model is built for continuity, the kind of ongoing relationship that helps you actually stay healthier over time.

Yes. Always. It's a 20-minute call with Dr. Ash to see if we're the right fit for your health goals. No obligation, no pressure.

Month-to-month. Cancel anytime. No initiation fees, no cancellation fees. We believe you should stay because you see value, not because you're locked in.

Ready to see if this is right for you?

Book a free 20-minute intro call with Dr. Ash. No obligation, no pressure. Just a conversation about your health goals and whether this model fits.

Book Your Free Intro Call

HSA/FSA eligible · No initiation fees · Cancel anytime

FishtownFish wrapped around the rod of AsclepiusMedicine
Philadelphia Primary Care
2418 E York St, Philadelphia, PA 19125Home visits in Greater Philadelphia

Serving Fishtown · Art Museum · Bella Vista · Callowhill · Center City · Center City West · Chestnut Hill · East Kensington · Fairmount · Fitler Square · Graduate Hospital · Logan Square · Manayunk · Northern Liberties · Old City · Olde Richmond · Poplar · Port Richmond · Queen Village · Rittenhouse · Roxborough · Society Hill · Southwark

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Content is for educational purposes only and does not constitute medical advice.

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