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Direct Primary Care
Internal Medicine

Bloom Direct Primary Care

Quick Facts

Membership Price Range$125/month (Initial Member, Ages 18-64) | $75/month (Additional Family Member) | One-time enrollment fee of $149 per member | Patients who sign up for 1 year receive one month free
Practice TypeDirect Primary Care
LocationBuffalo, East Amherst
DoctorsShikha Joshi MD, Internal Medicine
Telehealth TypeVirtual visits
Telehealth AvailableYes

About

At Bloom Direct Primary Care in East Amherst, NY, Dr. Shikha Joshi delivers adult primary care with a strong focus on Lifestyle Medicine and chronic disease prevention. Her clinical background as a hospitalist shaped the practice's direction. Caring for medically complex patients in the hospital, she recognized that better access to primary care and lifestyle intervention could prevent many hospitalizations.

Dr. Joshi holds board certifications in Internal Medicine, Lifestyle Medicine, and Obesity Medicine. She incorporates the six pillars of Lifestyle Medicine into every patient relationship: whole food nutrition, physical activity, stress management, restorative sleep, positive social connection, and avoidance of risky substances. Appointments run 30 to 60 minutes, with same- and next-day availability. Members reach Dr. Joshi directly by text or call, with no answering service. The flat monthly fee covers all clinic services, with no co-pays and no surprise bills. The practice also negotiates discounted cash-pay rates for labs and imaging.

Details

Address

6161 Transit Rd., Ste 5, East Amherst, NY 14051

Membership

$125/monthly

Membership Details

Monthly membership fee covers all clinic services with no co-pay. One-time enrollment fee of $149 per member. Additional family member rate of $75/month. Annual commitment receives one month free.

Typical Appointment

45 minutes

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Bloom Direct Primary Care charges $125 per month for the initial member. Additional family members join at $75 per month. A one-time enrollment fee of $149 applies per member. Patients who commit to a full year receive one month free. The monthly fee covers all clinic services with no co-pays.

Bloom Direct Primary Care does not bill insurance for membership or clinic visits. You can still use your insurance for labs, imaging, prescriptions, and specialist care. The practice recommends maintaining some insurance coverage for hospitalizations, emergencies, and surgeries.

The practice does not currently enroll Medicare or Medicaid patients. Bloom Direct Primary Care does maintain a waitlist for interested patients. Contact the practice directly to add your name.

Appointments run 30 to 60 minutes. The practice schedules patients intentionally to prevent overbooking and keep wait times minimal. Same- and next-day appointments are available for urgent needs.

Yes. Members contact Dr. Joshi directly by text or call, with no answering service. She manages urgent matters on evenings and weekends. m. m.

Yes. Bloom Direct Primary Care offers virtual visits for added convenience and accessibility. Members can schedule both in-person and virtual appointments with Dr. Joshi.

Membership covers annual physicals, sick visits, chronic disease management, preventive care, age-appropriate screenings, prescription review and refills, comprehensive weight management, vaccine counseling, lifestyle medicine counseling, nutrition and fitness counseling, and care coordination with specialists. The practice also provides access to discounted cash-pay rates for labs and imaging.

Bloom Direct Primary Care negotiates discounted cash-pay prices for labs and imaging. These rates are often lower than insurance-billed costs. Members who prefer to use their insurance for labs and imaging may do so.

Yes. Bloom Direct Primary Care accepts HSA payments for membership fees. Check with your accountant or employer to confirm whether your HSA plan covers this expense.

Start by scheduling a complimentary virtual meet-and-greet with Dr. Joshi to see if the practice is the right fit. From there, you complete enrollment online, fill out intake forms, and Dr. Joshi reviews your medical records before your first in-person appointment. Walk-ins are not accepted; all visits require a scheduled appointment.

Practice last updated April 10, 2026