Sanam Razeghi, MD in Baltimore: Internal Medicine with Same-Day Appointments

Sanam Razeghi, MD operates a private internal medicine practice in Baltimore that accepts walk-in patients and same-day appointments when urgent non-emergency issues arise, serving as a bridge between routine primary care and the emergency department for insured patients who need faster access than typical specialty scheduling allows.

What the practice actually is

Dr. Razeghi's office functions as an independent internal medicine practice within Baltimore's health care landscape, which is dominated by University of Maryland Medical Center, Johns Hopkins Health System, and MedStar Health. Unlike large health systems, the practice operates with appointment slots reserved specifically for established patients but accepts new patients and offers same-day slots when capacity allows. The practice handles diagnostic evaluation, management of chronic conditions, acute illness visits, and preventive care within the scope of internal medicine—not emergency stabilization, not specialty procedures.

Services and pricing

The practice covers standard internal medicine services: new-patient evaluations, management of hypertension, diabetes, hyperlipidemia, atrial fibrillation, and other common chronic conditions, preventive medicine visits, minor acute illness (upper respiratory infection, gastroenteritis, urinary tract infection), and coordination of care with specialists. Most insurance plans are accepted; patients should verify in-network status with their plan before the visit. Uninsured or cash-pay patients should confirm the office fee structure by phone, as pricing varies between insurers and self-pay arrangements. Established patients typically pay a standard copay; new-patient visits may carry higher copays or require payment for a comprehensive evaluation.

How it compares to Baltimore-area internal medicine

Baltimore has multiple walk-in urgent care chains (CVS MinuteClinic, Walgreens, local chains) that operate longer hours but handle narrower acute illness and minor injury—they do not manage chronic disease or provide continuity. Large health system practices at Johns Hopkins and University of Maryland offer internal medicine but often require 2-4 week appointment lead times for new patients and are oriented toward system-wide integration rather than independent access. Independent primary care practices like Razeghi's are fewer in Baltimore than in previous decades; this option suits patients who want a private practice setting with same-day availability but lack the infrastructure overhead of larger groups.

Who this practice suits and who it does not

The practice suits established patients with insurance who need urgent evaluation without emergency department costs, working adults with scheduling constraints who can reach the office during business hours, and patients who prefer independent practice continuity over health system rotation. It does not replace the ER for true emergencies (chest pain, severe shortness of breath, head injury), does not provide inpatient hospital care, and may not suit uninsured patients depending on fee structure. Patients expecting telehealth-only care should verify whether virtual visits are offered.

What the first visit involves

New patients should bring insurance card, photo ID, and a current medication list (or bottles). The visit includes a comprehensive history (past medical history, medications, allergies, family history, social history), vital signs, physical exam, and often routine labs depending on age and symptoms. The visit typically runs 30-45 minutes. After the initial visit, the office can coordinate referrals to specialists and request records from previous providers.

Hours, parking, and logistics

The practice operates on a standard office schedule; verify current hours and whether Saturday or after-hours appointments are available by calling ahead. Location and parking information should be confirmed directly with the office. Insurance accepted is broad but varies; patients should call to confirm network status before booking.

A private practice offering same-day appointments for established patients fills a gap between routine primary care delays and emergency room overutilization in Baltimore. For patients with insurance and flexibility during business hours, it can reduce wait times for urgent acute care management without the cost and crowding of urgent centers designed for uninsured walk-ins.