Meet Dr. Kiswani-Barley

Dr. Vandhana Kiswani-Barley is triple board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE), with over 15 years of clinical and executive leadership experience. As Founder and Medical Director of Thrive Rx, she leads a physician-led, direct-pay telehealth practice delivering comprehensive primary care alongside advanced metabolic, weight, and hormone care.

Her clinical philosophy is simple but increasingly rare in modern healthcare: patients deserve time, continuity, and a physician who looks beyond isolated symptoms to identify root causes. Dr. Kiswani-Barley practices medicine as it was intended, combining evidence-based guidelines with thoughtful diagnostics, longitudinal care, and deep patient partnership.

At Thrive Rx, Dr. Kiswani-Barley provides full-scope primary care, including preventive care, chronic disease management, and coordination of care, while also addressing conditions that are often fragmented or undertreated in traditional insurance-based systems. Weight management, metabolic health, and hormone optimization are treated as core components of primary care because they influence cardiovascular risk, diabetes, sleep, mood, energy, and long-term disease prevention.

Patients consistently describe Dr. Kiswani-Barley as thorough, compassionate, and deeply invested in their outcomes. Her ability to explain complex medical issues clearly, while holding patients accountable in a supportive way, reflects her commitment to partnership rather than transactional care.

Nevin Barley is the Co-Founder and Chief Operating Officer of Thrive Rx, where he leads the systems, strategy, and patient experience behind the practice.

With over 15 years of experience across healthcare, manufacturing, real estate, and other industries, Nevin has built his career around helping clients solve problems by identifying what is not working, uncovering opportunities for improvement, and implementing practical systems that drive better outcomes. At Thrive Rx, that translates into making physician-led care more accessible, organized, and effective for every patient.

He oversees operations, compliance, vendor relationships, and digital infrastructure, while working closely with Founder and Medical Director Vandhana Kiswani-Barley, MD, to build and refine clinical programs across primary care, metabolic health, weight loss, and hormone optimization.

Nevin also led the design and development of the Thrive Rx platform, including the patient onboarding experience, scheduling flow, and care coordination systems. Every element was built with intention to reduce friction, improve communication, and create a more modern, transparent healthcare experience.