UC San Diego Health faculty internist Nilesh H. Shah, MD practices adult primary care at UC San Diego Medical Offices North, located at 200 West Arbor Drive on the Hillcrest medical campus. The panel covers preventive screenings, chronic disease management, and pre-admission medical clearance for inpatient teams next door at the Hillcrest Medical Center at UC San Diego Health. Dr. Shah holds an academic appointment in the UC San Diego School of Medicine Department of Medicine and has coauthored published clerkship education research in The Clinical Teacher. He also maintains a clinical affiliation with the Jennifer Moreno Department of Veterans Affairs Medical Center, a separate pathway for VA-enrolled adults. Patients managing three or more chronic conditions across subspecialties are typically routed through the longitudinal-care model used by the UC San Diego Medical Center Internal Medicine Group Practice rather than single-visit consults. The most complex work in the panel is medication reconciliation and subspecialty coordination for geriatric adults with overlapping cardiac, renal, and endocrine disease, conducted inside the shared UCSD electronic health record that links outpatient notes to inpatient admissions on the same block.