David Naiman, MD in Baltimore: General Internal Medicine with Extended Appointment Time
David Naiman is a general internist practicing in Baltimore who focuses on adult preventive and chronic disease management without time-constrained office visits. He operates as a solo physician accepting new patients, taking Medicare and most commercial insurance, and treating conditions including hypertension, diabetes, hyperlipidemia, and thyroid disorders.
What this practice actually is
Naiman practices medicine on a schedule that allocates longer appointment slots than the typical primary care model. This setup allows time for complex patient histories and multiple comorbidities without the back-to-back compression common in larger groups or hospital-affiliated clinics. He works independently rather than as part of a health system, which means referral patterns and care coordination are at his discretion and are not automatically routed through a hospital network. As a solo practice, availability depends on a single physician's schedule and no coverage provider is on-site.
Services and insurance
The practice provides routine adult internal medicine: hypertension management, diabetes care, hyperlipidemia treatment, thyroid disorders, preventive screening (including colonoscopy referral), and vaccination. New patients typically schedule an initial comprehensive visit; Naiman accepts Medicare and major insurers including CareFirst BlueCross BlueShield. Specific copay and deductible amounts vary by your plan. Patients should call to confirm current insurance acceptance before scheduling, as payer networks and coverage terms change annually.
How this differs from other Baltimore internal medicine options
Baltimore's adult primary care spans employed models (like MedStar and University of Maryland Medical System clinics) where physicians work within large networks and typically have 15-minute scheduled appointments, independent solo practices like Naiman's, and smaller groups of 2 to 4 physicians. Employed models offer after-hours coverage and integration with imaging and specialty services on-site; drawbacks include shorter visits and routing through a hospital system's triage. Solo practitioners like Naiman allow longer visits and independent referral decisions but lack built-in backup coverage. Small group practices (2 to 4 doctors) split the difference: shared administrative cost and vacation coverage while often preserving longer appointment time.
Choose a solo practice if you have complex medical history, multiple medications, or prefer sustained relationship with one physician and have flexibility around occasional gaps if the doctor is unavailable. Choose an employed clinic if you value seamless same-building specialty access, predictable evening/weekend coverage, and prefer not to call around for referrals.
Who this practice suits and does not suit
This practice suits adults with established chronic conditions who benefit from 30- to 45-minute visits to discuss medication adjustments, side effects, and preventive care in detail. It also suits patients who live or work near the practice location and have scheduling flexibility. It does not suit patients who require same-day urgent access (since a solo practice has no backup), those who need frequent specialist coordination within a single health system, or those without transportation to a specific office location.
What the first visit involves
New patients should expect a comprehensive history and physical examination. The appointment will address current medical problems, past medical history, medications, allergies, family history, and lifestyle factors. You will receive an order for baseline labs if indicated (lipid panel, metabolic panel, hemoglobin A1c, etc.). Bring your insurance card, photo ID, a list of current medications, and a summary of recent lab results if available.
Hours, location, and logistics
The practice operates in Baltimore and accepts new patients. Patients should call to confirm current office hours and location, as small practices sometimes shift scheduling or move with lease changes. Parking and public transit access depend on the specific address. Verify all logistics directly before your first visit.
Why this matters for Baltimore's primary care landscape
Internal medicine delivered without time pressure addresses a common frustration in Baltimore's healthcare system: rushed appointments in larger clinics. For patients with multiple chronic conditions or medication sensitivities, those extra minutes translate to clearer medication instructions, fewer adverse events, and more informed preventive decisions. This practice represents the primary care model built on relationship continuity rather than volume throughput.
