I am a
fractional executive, entrepreneur, and investor.

Hi, I'm Nigam.

© Nigam Gandhi. All rights reserved.

Most healthcare AI pilots succeed technically. Very few scale across clinical teams.The technology works. Clinicians aren't using it consistently. Pilots aren't converting to enterprise deals. Expansion timelines are slipping — and the investor narrative is getting harder to defend.Naitia Advisory works with healthcare AI companies at the inflection point between pilot success and enterprise scale.This work is grounded in direct operational experience — not strategy from the outside.Scaled an AI-enabled care management solution from 40 to 3,000 clinicians across 20 markets at Elevance Health. Led enterprise digital health deployments across 300+ physicians at UT Southwestern Medical Center.
From there, we build the implementation model that makes adoption predictable across clinical teams and repeatable across sites.If you're navigating that gap between a successful pilot and scalable clinical adoption, let's talk about what's actually getting in the way.

About Nigam

I run an independent consulting practice in Dallas, helping healthcare organizations turn AI and digital investments into practical, usable workflows. The work is grounded in operational reality and focused on outcomes that matter beyond a slide deck.Before consulting, I spent over a decade as a healthcare operator leading digital and strategy initiatives. I’ve been accountable for results, not just recommendations, and I care about building things people actually use.My wife and I have three little girls, so life is equal parts chaos and joy. When I’m not chasing kids, I spend time reading and listening to ideas that sharpen how I think, eating well, and focusing on long-term health with an emphasis on prevention and longevity.