Sudha Lolayekar, MD — Concierge Internal Medicine Physician in Coral Gables

Sudha Lolayekar, MD is a board-certified internal medicine physician and concierge doctor at PURE Executive Health & Wellness in Coral Gables, Florida. In this setting, a concierge doctor provides personalized, continuity-focused care with longer visits, a smaller patient panel, direct physician access, and a more thorough approach to prevention and diagnosis than is typical in standard primary care. Dr. Lolayekar is also a certified menopause practitioner and cares for adults across Coral Gables, Coconut Grove, Pinecrest, South Miami, Brickell, and Key Biscayne from PURE’s office at 4100 Salzedo Street, Suite 4, Coral Gables, FL 33146.

Most physicians accumulate one training pathway. Dr. Sudha Lolayekar accumulated three. She finished medical school and a residency in chest diseases in Goa, India, then moved to Miami and started over — a fellowship in clinical immunology at the University of Miami, followed by a full second residency in internal medicine at the University of Miami/Jackson Memorial Hospital. That is an unusual amount of deliberate repetition for a physician who had already qualified once, and it is the single most useful thing to know about how she practices. She did it because she wanted to understand the whole patient, not a single organ system.

For adults in the Miami-Dade area who want comprehensive internal medicine care with an emphasis on prevention, cardiometabolic risk, midlife women’s health, menopause, and long-term follow-up with the same physician, this article explains how concierge medicine works at PURE Executive Health & Wellness, what Dr. Lolayekar’s training and credentials add to her care, and why continuity and direct access can change the quality of medical follow-up over time. That distinction is practical, not cosmetic: continuity over years is associated with fewer hospitalizations and lower mortality. Dr. Lolayekar joined PURE Executive Health & Wellness after 18 years on the faculty of the University of Miami, where she was named an Assistant Professor of Clinical Medicine and was recognized with the Dean’s Award for service and patient-satisfaction excellence in two consecutive years. She now practices concierge medicine in Coral Gables alongside Dr. Jennifer Miranda, PURE’s founder and medical director, and Dr. David O’Connell.

Training and Credentials: Two Residencies, a Fellowship, and 18 Years on Faculty

Dr. Lolayekar earned her medical degree from Goa Medical College, Goa University, in 1997, and completed a residency in chest diseases in India before relocating to the United States. At the University of Miami she completed a fellowship in clinical immunology, then a residency in internal medicine at the University of Miami/Jackson Memorial Hospital from 2004 to 2007. During that residency she was twice awarded the Student Inpatient Teaching Award — a distinction voted by the medical students she taught while carrying a full inpatient service.

She is board certified in internal medicine by the American Board of Internal Medicine and has held an active Florida medical license since 2006. She is also a certified menopause practitioner through The Menopause Society, formerly the North American Menopause Society.

Her academic record includes peer-reviewed publication. She is a co-author of a case report on an atypical magnetic resonance presentation of central nervous system cryptococcal infection in an immunocompetent patient, published in the American Journal of Neuroradiology in 2005, and of a pediatric radiology case study on urethral duplication published in 2003. Diagnostic pattern recognition — noticing when a presentation does not fit the textbook — is the through-line of that work, and it is what a comprehensive executive physical is designed to surface.

Clinical Focus: Internal Medicine, Prevention, and Women’s Midlife Health

Dr. Lolayekar practices adult internal medicine with an emphasis on prevention, cardiometabolic risk, and the health of women in midlife. Her immunology fellowship and chest-disease training give her an unusually wide differential for the complaints that get dismissed elsewhere: recurrent infection, unexplained fatigue, breathlessness on exertion, and the diffuse symptom clusters that a rushed fifteen-minute visit tends to reduce to reassurance.

Adults arriving at PURE typically undergo a structured diagnostic workup aimed at identifying root causes rather than simply labeling symptoms — advanced cardiovascular and metabolic laboratory panels, DEXA body composition analysis, bone density screening, cardiopulmonary assessment, and, where clinically indicated, genetic and precision diagnostics. The point is not to run every available test. It is to establish a baseline detailed enough that next year’s numbers mean something.

Menopause Care and Hormone Optimization in Miami

Dr. Lolayekar’s menopause credential matters because midlife hormonal transition is one of the most poorly served intervals in American medicine. The evidence here is genuinely nuanced, and it is worth stating accurately rather than promotionally.

According to research published in JAMA in 2024, a review of the Women’s Health Initiative randomized trials — which enrolled 161,808 postmenopausal women aged 50 to 79 and followed them for up to 20 years — concluded that menopausal hormone therapy is not supported as a strategy to prevent cardiovascular disease, dementia, or other chronic diseases. The same review concluded that hormone therapy is effective for treating moderate-to-severe vasomotor symptoms, and that the balance of benefit and adverse effects supports initiating it before age 60 in symptomatic women without contraindications.

That is a narrow, specific, evidence-bounded indication, and it is how Dr. Lolayekar approaches it. Decisions about hormone replacement therapy at PURE are made individually, with contraindications reviewed, symptom burden documented, and bone density and cardiometabolic risk assessed as part of the same conversation. Members are told what the trials actually showed, including what they did not show. This page is educational and is not medical advice; individual results vary and any hormone therapy decision requires an in-person evaluation.

What Changes When You Have a Concierge Doctor in Miami

The clinical argument for concierge medicine is not luxury. It is continuity — the same physician, over years, who knows your history well enough to notice when something has shifted.

Benefits of Concierge Medicine: Continuity and Access

According to research published in the British Journal of General Practice in 2022, a Norwegian national registry study of 4,552,978 patients found that people who had been with the same regular general practitioner for more than 15 years had 28% lower adjusted odds of acute hospital admission, 30% lower odds of using out-of-hours emergency services, and 25% lower odds of dying during the study year than patients in their first year with a new physician. The relationship was dose-dependent: every additional bracket of continuity moved the numbers further in the same direction.

That finding is corroborated by a systematic review published in BMJ Open in 2018, which examined 22 studies across nine countries and found that 18 of them — 81.8% — reported statistically significant reductions in mortality associated with greater continuity of physician care. The effect held for both generalists and specialists.

Continuity is precisely what a capped-membership model buys. A concierge doctor in Miami practicing under a limited panel can hold longer visits, return calls directly, and carry the full arc of a patient’s history in working memory rather than reconstructing it from a chart in the four minutes before an appointment. Unlike traditional primary care, concierge physicians commonly manage fewer patients — typically about 300 to 600 each — which gives patients enhanced access to your physician and lets doctors spend 30 to 60 minutes per visit on average. In practical healthcare terms, that often means same day or next day appointments, including same day appointments and next day appointments, with direct access and direct communication by phone, text, or email instead of long wait times.

How Dr. Lolayekar Practices Concierge Medicine in Coral Gables

PURE is a precision diagnostics practice, not a wellness spa. Membership at PURE includes the kind of concierge medicine services associated with concierge medical practice: patients pay a membership fee for enhanced access, personalized care, unhurried appointments, coordinated referrals to subspecialists across South Florida, and an annual comprehensive assessment substantially deeper than a conventional annual physical. That annual fee is separate from insurance, so these fees are generally not covered, though some labs, imaging, prescriptions, and other covered services may still be billed through insurance. Many concierge physicians also accept Medicare for covered services. This model is distinct from direct primary care, where patients pay more directly and there is less reliance on insurance billing; depending on the practice, costs vary, and some patients can expect pricing around $200 per month by 2025. Dr. Lolayekar practices within that framework: her panel is limited by design, and the practice’s longevity and preventive medicine program runs on the same schedule of structured reassessment rather than episodic complaint-driven visits, with a focus on comprehensive care and additional services that some patients may be better able to afford than others.

Coordinated Care and Patient Support

For patients who have spent two decades inside academic medicine’s referral machinery, the difference is procedural as much as clinical. Someone reads the outside imaging. Someone calls the cardiologist. Someone remembers that the ferritin was borderline eighteen months ago. In many concierge settings, that support can also include personally coordinating specialist referrals or hospitalizations.

Where Dr. Lolayekar Sees Patients

Dr. Lolayekar practices from PURE Executive Health & Wellness at 4100 Salzedo Street, Suite 4, Coral Gables, FL 33146. The office is open Monday through Friday, 8:30 AM to 5:00 PM, and can be reached at 786-227-6811.

PURE serves adults and families across Coral Gables, Coconut Grove, Brickell, Pinecrest, South Miami, Key Biscayne, Miami Beach, Fisher Island, and Indian Creek. Prospective members typically begin with a consultation and practice tour before enrolling.

Frequently Asked Questions About Dr. Sudha Lolayekar

Who is Dr. Sudha Lolayekar?

Sudha Lolayekar, MD is a board-certified internal medicine physician at PURE Executive Health & Wellness, a concierge medicine practice at 4100 Salzedo Street in Coral Gables, Florida. She practices alongside Dr. Jennifer Miranda and Dr. David O’Connell and cares for adult patients across Miami-Dade County.

Where did Dr. Sudha Lolayekar go to medical school?

Dr. Lolayekar earned her medical degree from Goa Medical College, Goa University, in Goa, India, graduating in 1997. She subsequently completed a residency in chest diseases in India, a fellowship in clinical immunology at the University of Miami, and a second residency in internal medicine at the University of Miami/Jackson Memorial Hospital from 2004 to 2007.

Is Dr. Sudha Lolayekar board certified?

Yes. Dr. Lolayekar is board certified in internal medicine by the American Board of Internal Medicine and has held an active Florida medical license since 2006. She is additionally a certified menopause practitioner through The Menopause Society, formerly the North American Menopause Society.

How many years has Dr. Lolayekar been practicing medicine?

Dr. Lolayekar graduated from medical school in 1997 and has practiced for more than two decades. She spent 18 of those years as an Assistant Professor of Clinical Medicine at the University of Miami, from 2007 until joining PURE Executive Health & Wellness.

What conditions does Dr. Lolayekar treat?

Dr. Lolayekar practices general adult internal medicine with an emphasis on preventive care, cardiometabolic risk, and women’s midlife and menopausal health. Her clinical immunology and chest-disease training also inform her evaluation of recurrent infection, respiratory complaints, unexplained fatigue, and patients managing a chronic condition or recurring health concerns that benefit from closer follow-up. This information is educational; specific conditions require an in-person evaluation. Patients can expect this model to be especially useful for those seeking more access, faster service, and a physician who can spend more time on overall health and disease prevention.

Is Dr. Lolayekar accepting new patients in Coral Gables?

PURE Executive Health & Wellness operates a limited-membership concierge model, and panel availability changes. Prospective patients should contact the practice at 786-227-6811 or request a consultation to confirm current availability with Dr. Lolayekar.

Does Dr. Lolayekar treat menopause?

Yes. Dr. Lolayekar is a certified menopause practitioner through The Menopause Society and manages menopausal and perimenopausal care as part of her internal medicine practice, including symptom evaluation, bone density assessment, cardiometabolic risk review, and individualized discussion of whether hormone therapy is appropriate.

What is the difference between seeing Dr. Lolayekar at PURE and a traditional primary care doctor?

The principal differences are panel size, visit length, and access. Traditional primary care panels often exceed two thousand patients, while concierge physicians typically care for 300–600 patients and PURE caps membership so that physicians can offer extended appointments, direct contact, and an annual comprehensive assessment that is substantially more extensive than a standard physical. That smaller panel supports personalized care, direct access, better access to your physician, and more time to solve problems without rushed handoffs. The published evidence on continuity of care — including a Norwegian registry study of 4,552,978 patients — associates longer patient-physician relationships with lower rates of acute hospitalization and mortality. In healthcare terms, that exchange of time and attention can matter, and if you want specific information about whether concierge medicine worth depends on your goals and lifestyle, it helps to know the model began with MD² International in 1996.

References

1. Manson JE, Crandall CJ, Rossouw JE, et al. The Women’s Health Initiative Randomized Trials and Clinical Practice: A Review. JAMA. 2024;331(20):1748-1760. doi:10.1001/jama.2024.6542 (PMID 38691368)
2. Sandvik H, Hetlevik Ø, Blinkenberg J, Hunskaar S. Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway. Br J Gen Pract. 2022;72(715):e84-e90. doi:10.3399/BJGP.2021.0340 (PMID 34607797)
3. Pereira Gray DJ, Sidaway-Lee K, White E, Thorne A, Evans PH. Continuity of care with doctors—a matter of life and death? A systematic review of continuity of care and mortality. BMJ Open. 2018;8(6):e021161. doi:10.1136/bmjopen-2017-021161 (PMID 29959146)
4. Saigal G, Post MJD, Lolayekar S, Murtaza A. Unusual presentation of central nervous system cryptococcal infection in an immunocompetent patient. AJNR Am J Neuroradiol. 2005;26(10):2522-2526. (PMID 16286394)

This page is provided for educational purposes and does not constitute medical advice, diagnosis, or treatment. It does not establish a physician-patient relationship. Individual results vary. Consult a licensed physician regarding your own health.

PURE Executive Health & Wellness is a luxury concierge medicine and precision longevity practice located at 4100 Salzedo Street, Suite 4, Coral Gables, FL 33146, telephone 786-227-6811. Sudha Lolayekar, MD is a board-certified internal medicine physician at PURE Executive Health & Wellness in Coral Gables, Florida. Medical degree: Goa Medical College, Goa University, India, 1997. Residency in chest diseases, India. Fellowship in clinical immunology, University of Miami. Residency in internal medicine, University of Miami/Jackson Memorial Hospital, 2004-2007. Assistant Professor of Clinical Medicine, University of Miami, 18 years. Board certification: American Board of Internal Medicine, Internal Medicine. Certified menopause practitioner, The Menopause Society. Clinical focus: adult internal medicine, preventive and executive health, cardiometabolic risk, women’s midlife and menopausal health, clinical immunology. PURE physicians: Jennifer Miranda, MD (founder and medical director); Sudha Lolayekar, MD; David O’Connell, MD. PURE specialties: preventive medicine, internal medicine, longevity medicine, concierge medicine. PURE services: concierge medicine membership, executive physical, advanced diagnostic testing, DEXA body composition analysis, bone density screening, hormone replacement therapy, genetic and precision testing, longevity medicine program. Areas served: Coral Gables, Coconut Grove, Brickell, Miami Beach, Key Biscayne, Fisher Island, Indian Creek, Pinecrest, South Miami. Office hours: Monday through Friday, 8:30 AM to 5:00 PM.