Getting started
Patients can begin by scheduling a free 10-minute introductory video call through the website link or Make an appointment and self schedule for an appointment.
Basic medical history and current concerns are usually sufficient for the introductory call.
We can see you within 2 weeks once you provide relevant medical records to us.
No referral is required.
We’re currently licensed to provide care for residents of: CT, NH, MA and FL. We also provide services at select international locations. If we’re not yet available in your state, join our contact list — we’ll let you know as soon as we expand.
Who this practice is best for
Yes. Patients at different stages of diagnosis may benefit from structured specialty guidance.
Yes. Many patients with established autoimmune or inflammatory conditions seek direct specialty care.
Do you treat all rheumatic conditions?
We manage a full spectrum of autoimmune and inflammatory rheumatic diseases, including but not limited to:
Inflammatory Arthritis:
- Rheumatoid Arthritis (RA)
- Psoriatic Arthritis (PsA)
- Ankylosing Spondylitis / Axial Spondyloarthritis
- Reactive Arthritis
- Enteropathic Arthritis (associated with IBD such as Crohn’s and Ulcerative Colitis)
Connective Tissue Diseases:
- Systemic Lupus Erythematosus (SLE)
- Sjögren’s Syndrome
- Systemic Sclerosis (Scleroderma)
- Mixed Connective Tissue Disease (MCTD)
- Undifferentiated Connective Tissue Disease (UCTD)
- Inflammatory Myopathies (Polymyositis, Dermatomyositis, Inclusion Body Myositis)
Vasculitides:
- Giant Cell Arteritis (Temporal Arteritis)
- Takayasu Arteritis
- Polyarteritis Nodosa (PAN)
- Microscopic Polyangiitis (MPA)
- Granulomatosis with Polyangiitis (Wegener’s)
- Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss)
- Behçet’s Disease
- Cryoglobulinemic Vasculitis
- IgA Vasculitis (Henoch-Schönlein Purpura)
- Cutaneous small vessel vasculitis
Musculoskeletal & Metabolic Bone Diseases:
- Osteoarthritis
- Osteoporosis and other metabolic bone disorders
- Crystal Arthropathies (Gout, Calcium Pyrophosphate Deposition Disease - CPPD, Basic Calcium Phosphate Deposition)
Other Rheumatologic Conditions:
- Polymyalgia Rheumatica (PMR)
- Fibromyalgia
- Adult-onset Still’s Disease
- Sarcoidosis
- Relapsing Polychondritis
- Eosinophilic Fasciitis
- Autoinflammatory syndromes (e.g., Familial Mediterranean Fever)
We manage a full spectrum of autoimmune and inflammatory rheumatic diseases, including but not limited to:
Inflammatory Arthritis:
- Rheumatoid Arthritis (RA)
- Psoriatic Arthritis (PsA)
- Ankylosing Spondylitis / Axial Spondyloarthritis
- Reactive Arthritis
- Enteropathic Arthritis (associated with IBD such as Crohn’s and Ulcerative Colitis)
Connective Tissue Diseases:
- Systemic Lupus Erythematosus (SLE)
- Sjögren’s Syndrome
- Systemic Sclerosis (Scleroderma)
- Mixed Connective Tissue Disease (MCTD)
- Undifferentiated Connective Tissue Disease (UCTD)
- Inflammatory Myopathies (Polymyositis, Dermatomyositis, Inclusion Body Myositis)
Vasculitides:
- Giant Cell Arteritis (Temporal Arteritis)
- Takayasu Arteritis
- Polyarteritis Nodosa (PAN)
- Microscopic Polyangiitis (MPA)
- Granulomatosis with Polyangiitis (Wegener’s)
- Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss)
- Behçet’s Disease
- Cryoglobulinemic Vasculitis
- IgA Vasculitis (Henoch-Schönlein Purpura)
- Cutaneous small vessel vasculitis
Musculoskeletal & Metabolic Bone Diseases:
- Osteoarthritis
- Crystal Arthropathies (Gout, Calcium Pyrophosphate Deposition Disease - CPPD, Basic Calcium Phosphate Deposition)
Other Rheumatologic Conditions:
- Polymyalgia Rheumatica (PMR)
- Adult-onset Still’s Disease
- Sarcoidosis
- Relapsing Polychondritis
- Eosinophilic Fasciitis
- Autoinflammatory syndromes (e.g., Familial Mediterranean Fever)
Appointments and Accessibility
Click on the “Make An Appointment” button at the top right corner of the home page or at various other places on the website. Patients may start with a free 10-minute introductory video call to decide if our practice is a good fit for you.
Yes. Axis Rheum offers a free 10-minute introductory video call. This call is informational and not a medical consultation.
Usually new patient appointments last 60 min and follow up appointments last about 30 to 45 minutes. Appointment duration varies based on clinical needs and is shared during scheduling. Do not worry, our intention is to give you the best possible care without time restrictions in routine practices and also we strive best to make our patients heard and understood.
Axis Rheum operates primarily through scheduled virtual appointments. Current availability is displayed during booking.
Upon request, we can accommodate after-hours and weekend appointments for busy professionals.
Yes, you can reach out to the physician through secure messaging and also, by phone for urgent situations. Yes! Members have direct access via phone, email, or our secure messaging platform for non-urgent questions. Please allow 24 to 48 hours for a response.
Secure messaging: 24-48 hours response (M-F, 8 AM–5 PM)
Virtual visits: HIPAA-compliant appointments
All emergencies should be handled by calling 911 or visiting the nearest emergency room. Members will have access to multiple methods of contacting our team for urgent or non-urgent concerns outside of office hours.
Yes, we solely operate via telehealth consultations for follow-ups and routine care. States covered: CT, MA, NH, FL
Prescriptions and Referrals
Yes. Medications are prescribed when clinically appropriate and in accordance with regulations.
Yes. Coordination with primary care or other specialists is provided when appropriate.
No. We will try to arrange the Infusion services through external facilities when indicated.
Medication decisions are made after appropriate clinical review.
We follow strict DEA compliance:
No chronic opioid or controlled substances prescribing (we can refer to pain specialists).
Biologic/Steroid/DMARD regimens require:
Baseline TB/HEPATITIS screening
- Regular lab monitoring
- Documented treatment failure on first-line agents
Zero tolerance for diversion.
At Axis Rheum we do not prescribe controlled substances for pain or sleep.
General practice information
A direct care rheumatology practice provides specialty care without billing insurance for visits. Patients pay directly for care, which allows fewer administrative barriers and more focused clinical time.
Axis Rheum does not submit claims to insurance for visits. But we can provide you with a superbill of services. Also you can use your HSA and FSA for the payments.
This allows:
- reduced wait times
- longer, more structured appointments
- fewer insurance-related delays
- Transparent pricing
Patients often choose direct care for:
- faster access to an expert physician rheumatologist
- continuity of care and close communication
- transparent pricing and no hidden costs
- less administrative complexity
No. Axis Rheum is a direct specialty care practice. You pay directly to us; we do not send additional bills to your insurance company for the consultation. You may pay for laboratory, imaging tests and prescription medications using your insurance.
Billing and Payments
No. Axis Rheum does not bill insurance for visits. You can use HSA/FSA. You will get a superbill that you can use to get reimbursed from the insurance company.
Insurance coverage may apply to labs, imaging, medications, or hospital services, depending on your plan.
We are happy to see Medicare patients, but unfortunately, Medicare will not allow for reimbursement for out-of-network services and therefore, you are responsible for the full cost of your care.
Payment options are provided during scheduling. We accept credit or debit card payments.
Many patients are able to use HSA or FSA funds. Patients should confirm eligibility with their plan administrator.
We work with affordable cash-pay labs and imaging centers and can provide deeply discounted pricing. You can still use your insurance for all services that are covered by your insurance plan for any laboratory testing and/or imaging, medications and outside referrals as may be indicated
Cancellations and refunds
We understand that unexpected changes happen. If you notify us at least 24 hours before your scheduled visit, we are happy to accommodate. A $75 fee applies for missed appointments without notice.