Chronic DiseaseWoundTransitional Care
Serving Delaware & Maryland
Personalized wound care, chronic disease management, and transitional care in our office or through convenient home visits.
Select a service to see who it is for, what a visit covers, and what happens after you get in touch.
Ongoing, coordinated care for adults managing heart failure, COPD, diabetes, hypertension, and other chronic conditions.
Hands-on wound assessment, dressing changes, and debridement — in our Middletown office or at home.
Close follow-up in the weeks after a hospital or ED discharge, when medication changes go unreviewed and warning signs are easiest to miss.
This is the window where close follow-up matters most. Tell us the discharge date and we will start the transitional care pathway instead of a standard consultation queue.
Patients leave the hospital with a stack of new instructions, medication changes, and a follow-up appointment that's weeks away. In that gap, warning signs of decompensation can go unnoticed until they turn into another emergency room visit or a readmission.
Overbooked primary care panels weren't built for the highest-risk 30–90 days after a hospital stay — the exact window when complex, chronically ill patients need the closest attention.
Hospital discharge — new medications, new instructions, a lot to absorb.
Follow-up is weeks out. Medication changes go unreviewed. Warning signs are easy to miss.
Small problems can escalate into ER visits and hospital readmissions.
No subscription and no enrollment fee — you are seen for the care you need, on the schedule your conditions actually call for.
Medicare · Highmark Delaware (PPO, Medicare Advantage, FEP, Indemnity) · Delaware Medicaid · Other private insurance (billing coming soon) · Self-pay welcome — Tikari welcomes patients regardless of coverage. Covered visits are billed directly to Medicare, Highmark Delaware, and Delaware Medicaid. Self-pay visits are available at a personalized, negotiated rate — contact us for a quote based on your coverage.
Every new patient starts the same way — an in-depth intake history, medication reconciliation, and a personalized care plan built around your conditions and goals. No referral is required.
You or a loved one were recently discharged after a flare-up of a chronic condition — heart failure, COPD, diabetes complications, or a complex surgery — and want closer follow-up than a standard primary care schedule allows.
You haven't been hospitalized recently, but you're juggling two or more chronic conditions and tired of 15-minute visits scheduled months apart with a provider who barely has time to review your chart.
You or a loved one have a wound that needs regular dressing changes or monitoring — post-surgical, a pressure injury, or a slow-healing ulcer — and getting to a wound care center every week isn't realistic.
See us at our Middletown office, or have us come to you. Office visits, in-home care, and telehealth for adults across Delaware and Maryland.
Written for family caregivers and for hospital, home health, and physician-practice teams sending a patient our way.
Please don't email clinical records or patient identifiers before we've confirmed a secure channel. Send a short note first and we'll set that up.
Referrals are handled directly by the clinician who will see the patient — no intake call center in between.
Jerise Agha, MSN, AG-ACNP-BC
Responses go out within 48 hours. For a patient who needs to be seen sooner than that, please call rather than email.
Send a referral inquiryTell us a little about your situation — recent discharge, an ongoing chronic condition, or a parent you're caring for — and Jerise will follow up personally.