About
Dr. Tiago Miguel, MD, is a board-certified internal medicine physician and a core member of the Highbridge Medical two-physician team. He focuses on house call-based primary care across Fairfield County and northeastern Westchester County.
Dr. Miguel is deeply focused on neurodegenerative disease, metabolic medicine, and preventive cardiology. He pursues early Alzheimer's diagnosis through both traditional cognitive testing and emerging blood biomarker approaches. His work in metabolic health centers on low insulin diets and their role in long-term wellness. He also integrates advanced cardiovascular screening tools, including coronary artery calcium scoring, ApoB, and Lp(a), into his preventive care approach. Dr. Miguel provides palliative care support and works closely with families navigating end-of-life decisions at home.
Conditions Treated
Who is Dr. Miguel right for?
Dr. Miguel is a strong fit for adults who want proactive, prevention-focused primary care at home. Patients with metabolic concerns, cardiovascular risk, or early cognitive changes benefit from his diagnostic depth. Older adults and those living in assisted or memory care communities find his geriatric expertise especially relevant. Families navigating end-of-life decisions value his palliative care experience and steady involvement.
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Frequently Asked Questions
Dr. Miguel focuses on neurodegenerative disease, metabolic health, and preventive cardiology. He also manages chronic disease and geriatric care for older adults. His clinical work includes early Alzheimer's diagnosis, metabolic syndrome, and cardiovascular risk reduction.
Dr. Miguel pursues early Alzheimer's diagnosis using both traditional cognitive assessments and emerging blood biomarker testing. This dual approach allows him to identify risk earlier and support patients and families with planning and care.
Dr. Miguel integrates coronary artery calcium scoring, ApoB, and Lp(a) testing into his preventive cardiology work. These tools help him identify cardiovascular risk before symptoms appear. He coordinates advanced lipid panels for a thorough picture of each patient's heart health.
Yes. Dr. Miguel's metabolic work focuses on low insulin diets and their role in long-term wellness. He coaches patients on dietary approaches that address the root causes of metabolic dysfunction. He also manages GLP-1 medications when appropriate.
Yes. Dr. Miguel sees patients in Independent Living, Assisted Living, and Memory Care communities across Fairfield County and northeastern Westchester County. He delivers care directly on-site, bringing clinical services to patients where they live.
Yes. Dr. Miguel provides palliative care support for patients and their families. He works closely with families navigating end-of-life decisions at home, including advanced care planning and goals-of-care conversations.
Yes. Dr. Miguel holds board certification in internal medicine. He brings additional clinical depth in geriatric medicine and preventive medicine to his house call-based practice.
Doctor profile last updated March 21, 2026