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Do I Need a Referral to See a Podiatrist?

Do I Need a Referral to See a Podiatrist

Why Referrals Are Crucial For Seeing A Podiatrist? 

It is a fact that understanding the logistics in the healthcare department can be, at times, very confusing. Moreover, the need for a prim and quick response is very much expected when it comes to emergencies. Well, be that as it may, ankle issues require the close attention of a qualified podiatrist. However, the matter is whether or not you need a referral! So, if you pose as to be or not to be, if you wish to see a podiatrist, you will need to keep reading further. 

It depends on various factors. Usually, a recommendation is not required in order to see a podiatrist. There is never a referral needed for Medicare or PPO insurance. But referrals are always necessary for HMO-style insurance.

Who Is A Podiatrist? 

You may want to know the details about getting a referral to see a podiatrist. However, first, you must know who is a podiatrist. A podiatrist helps to treat issues associated with the feet and ankles. They are the medical professionals who undergo a profound aspect to figure out the issues that bother an individual to walk. Hence, you can expect them to have deep learning about the feet and the anatomy of it. There are a few issues that a podiatrist treats as follows 

Severe Pain 

Treat any pain resulting from the wrong footwear 


A prevalent issue among people that a professional treats. 


A podiatrist also treats any kind of foot fracture. 

Flat Feet 

Flat feet are yet again another common issue among people that a professional podiatrist treats. 

Referral- Is It A Necessity? 

In the event, you think I need a referral to see a podiatrist? Then, you need to understand that, in most cases, you do not require a referral to book an appointment. However, for those individuals who require a discount for reimbursement of a certain amount, having a referral code is a must. For instance, you will get a referral code if covered with medical insurance. This code should convey all the necessary medical history to the podiatrist. Also, remember that you will have to talk in detail with the professional about the issues you face with your feet. 

So, do I need a referral to a podiatrist? Then, you need to know that it largely depends on the situation. A podiatrist at Advanced Medical Group demands a strong referral from an individual if covered with insurance. This is to ensure that the sufferer gets the proper treatment. Also, you need to know that referral comes after a thorough evaluation of the case, so you do not have to worry about the treatment. A few insurance policies require a referral code to proceed with the treatment. It is more like a protocol that you need to abide by.

Having A Referral Is A Benefit In Disguise 

If your insurance does not mandate a referral, it is best to have one before you see a professional. You must know that the primary care physician will evaluate the case first. Not all issues require the attention of a podiatrist. 

The Primary Care Physician must evaluate whether you see a rheumatologist, orthopedic or podiatrist. Your physician acts as the primary coordinator of your healthcare with a thorough awareness of your medical history and general health. 

If you speak with your PCP first, they can offer insightful advice and suggest suitable podiatric care depending on your requirements. Additionally, they can help various healthcare providers communicate with one another, guaranteeing that your treatment plan is coordinated seamlessly. 

When Is It Required To Seek A Referral For Addressing Foot Pain? 

1. In The Case Of A Foot Injury 

A person might have just damaged their foot and is experiencing chronic pain. They should immediately seek medical assistance from a podiatrist at Advanced Medical Group. The foot bones may be fractured and the soft tissue may have been injured such as a torn Achilles tendon. In this case, a person will visit the emergency hospital or their doctor with a foot ailment. This is when the doctor will most likely refer them to a podiatrist. 

2. If The Insurance Provider Requires It 

So, people who wonder if you need a referral to see a podiatrist for an insurance claim. Some medical insurance companies do cover the services of a podiatrist if a primary care physician recommends it. You might still want to ask your insurance provider if they would cover a podiatrist visit without a referral. The insurance provider could be a health maintenance organisation. Then, the patient’s primary care physician must produce a documented referral to ensure that the expense of seeing a podiatrist is reimbursed. This is true for all non-emergency instances. 

3. When There Is An Underlying Medical Condition 

Some individuals wonder- do I need a referral to a podiatrist. People with chronic diseases such as diabetes or arthritis should contact their doctors, who will conduct an examination and diagnostic before referring them. Consider the instance of a diabetic. Patients may have to consult a podiatrist when they experience discomfort and tingling sensation in the feet. Moreover, physicians may refer patients to these specialists when they notice sores and calluses. The podiatrist may treat the patient’s feet with medicine, foot orthotics, prescription shoes, and minor surgical operations. All this will depend on the diagnosis. Eventually, the diabetic will continue to visit the podiatrist for routine examinations. 

4. When The Foot Pain Is Chronic 

Long-term foot discomfort that comes and goes might indicate an underlying disease. A person’s pain may last over a month, and they should see a doctor to determine the source. A physician will make a referral when the underlying reason necessitates treatment by a Podiatrist at Advanced Medical Group.

The Final Say 

Now you have the answer to the question- do I need a referral to see a podiatrist. It is simply stating the situation of sheer urgency. You can often make an appointment with a podiatrist without requiring a referral. You may be experiencing foot or ankle issues wherein you should not hesitate to seek treatment from a podiatrist at Advanced Medical Group. Early intervention can help prevent more severe problems and get you back on your feet sooner.

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Fatima Shaik MD


Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Ms. Maria Avila

Maria Avila, NP

Nurse Practitioner

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Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).


Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.