# Fishtown Medicine

> Fishtown Medicine is a direct primary care and longevity medicine practice in the Fishtown neighborhood of Philadelphia, PA, led by Ashvin Vijayakumar MD (Dr. Ash), board certified in Internal Medicine. Proactive, preventive primary care with same-day access, 30 to 90 minute visits, advanced biomarker testing, and Medicine 3.0 healthspan optimization. Home visits across Greater Philadelphia; virtual care in 40 states.

## Practice facts
- Name: Fishtown Medicine
- Physician: Ashvin Vijayakumar MD (Dr. Ash), board certified in Internal Medicine
- Address: 2418 E York St, Philadelphia, PA 19125
- Phone: (267) 360-7927
- Email: hello@fishtownmedicine.com
- Hours: Monday - Thursday: 8:00 AM - 8:00 PM; Friday - Sunday: 9:00 AM - 6:00 PM
- Care model: membership-based direct primary care. Mobile-first with no traditional office; care happens by secure text, phone, video, and doorstep home visits across Greater Philadelphia.
- New patients: accepting new adult patients
- Membership pricing: $250/month, $685/quarter, or $2,500/year. HSA/FSA eligible.
- Care packages: The Reset (3 sessions, $750) and The Strategic Roadmap (5 sessions, $975)
- Insurance: the membership is not billed to insurance; members keep their insurance for labs, imaging, prescriptions, specialists, and hospital care. Fishtown Medicine does not serve patients on Medicare or Medicaid.
- Reviews: 4.96 stars across 124+ verified reviews (Google, Facebook, ZocDoc, Healthgrades, Nextdoor)
- Recognition: 2026 Philadelphia Inquirer Philly Favorites winner for Primary Care; Philadelphia Magazine Top Doctors 2026
- Practice NPI (organization): 1356169619
- Physician NPI: 1659782464

## Start here
- [About the practice](https://www.fishtownmedicine.com/about)
- [Meet Dr. Ash](https://www.fishtownmedicine.com/about/meet-dr-ash)
- [Pricing and membership](https://www.fishtownmedicine.com/about/pricing)
- [Membership details](https://www.fishtownmedicine.com/about/pricing/membership)
- [Care packages](https://www.fishtownmedicine.com/about/pricing/packages)
- [How onboarding works](https://www.fishtownmedicine.com/about/getting-started-onboarding)
- [Common questions](https://www.fishtownmedicine.com/faq)
- [Start your intake (tell Dr. Ash what is going on)](https://www.fishtownmedicine.com/intake?step=goal)

## Choosing a doctor in Philadelphia
- [Direct primary care in Philadelphia](https://www.fishtownmedicine.com/services/direct-primary-care-philadelphia)
- [Concierge medicine vs direct primary care](https://www.fishtownmedicine.com/services/concierge-vs-dpc)
- [What concierge medicine costs in Philadelphia](https://www.fishtownmedicine.com/services/concierge-medicine-cost-philadelphia)
- [Compare primary care models](https://www.fishtownmedicine.com/about/compare)
- [How insurance fits a membership practice](https://www.fishtownmedicine.com/about/insurance-and-benefits-guide)
- [Using HSA/FSA funds for direct primary care](https://www.fishtownmedicine.com/about/hsa-for-dpc-guide)
- [Home visits and house calls](https://www.fishtownmedicine.com/about/home-visits)
- [Same-day sick visits](https://www.fishtownmedicine.com/services/same-day-sick-visit-philadelphia)
- [Why the practice has no waiting room](https://www.fishtownmedicine.com/about/no-office-model)
- [Primary care physician in Philadelphia](https://www.fishtownmedicine.com/services/primary-care-physician-philadelphia)

## If you use a health app or testing service
- [Online weight loss programs: what the subscription skips](https://www.fishtownmedicine.com/services/online-weight-loss-programs)
- [At-home lab testing memberships: 100 biomarkers, then what?](https://www.fishtownmedicine.com/digital-health-literacy/at-home-lab-testing-memberships)
- [Is whole genome sequencing worth it?](https://www.fishtownmedicine.com/longevity/whole-genome-sequencing-worth-it)
- [Hormone testing before birth control: what helps](https://www.fishtownmedicine.com/hormones/birth-control-hormone-testing)
- [Online mental health treatment: what the apps cannot do](https://www.fishtownmedicine.com/services/online-mental-health-treatment)

## Clinical topic libraries
- [Longevity & Medicine 3.0](https://www.fishtownmedicine.com/longevity)
- [Metabolic health](https://www.fishtownmedicine.com/metabolism)
- [Hormones (TRT, thyroid, menopause, andropause)](https://www.fishtownmedicine.com/hormones)
- [Cardiovascular risk](https://www.fishtownmedicine.com/cardiovascular-risk)
- [Performance (VO2 max, muscle, sleep)](https://www.fishtownmedicine.com/performance)
- [Symptoms](https://www.fishtownmedicine.com/symptoms)
- [Treatments](https://www.fishtownmedicine.com/treatments)
- [Playbooks (step-by-step frameworks)](https://www.fishtownmedicine.com/playbooks)
- [Supplement clinical guides](https://www.fishtownmedicine.com/articles/supplements)
- [Supplement guide](https://www.fishtownmedicine.com/about/supplement-guide)
- [Full article library](https://www.fishtownmedicine.com/articles)

## Philadelphia neighborhoods served
- [Neighborhoods we serve](https://www.fishtownmedicine.com/neighborhoods)

## Reviews and recognition
- [Patient testimonials](https://www.fishtownmedicine.com/about/patient-testimonials)
- [Press and recognition](https://www.fishtownmedicine.com/press)
- [2026 Inquirer Philly Favorites winner, Primary Care](https://www.fishtownmedicine.com/press/phillyfave)

## Policies & transparency
- [Disclosures & conflicts of interest](https://www.fishtownmedicine.com/about/disclosures)
- [Scope of practice](https://www.fishtownmedicine.com/about/scope-of-practice)
- [Clinical independence](https://www.fishtownmedicine.com/about/clinical-independence)
- [Privacy policy](https://www.fishtownmedicine.com/about/privacy-policy)
- [Terms of service](https://www.fishtownmedicine.com/about/terms-of-service)