House Call Services

Reinventing Home Physician Care

Convenience Medicine

Dr. Yirga and her team provide House Calls for routine primary care as well as “urgent” care and “on call” services in and around Northern Virginia. These services assist aging adults to remain healthy and thriving in the home setting. Most common adult medical concerns can be managed in the comfort of home. Some of these common concerns include chronic conditions such as hypertension (high blood pressure), diabetes mellitus, respiratory diseases such as COPD, back pain and osteoarthritis, hyperlipidemia (high cholesterol), and depression, as well as acute needs such as sore throat, cough, fever, headache, bronchitis, pneumonia, dehydration, acute delirium, just to name a few. For aging adults, this can be a very convenient option versus going to a clinic or the Emergency Room. While certain serious illnesses cannot be treated at home, the majority can be. We comply with all standards recommended by the Occupation Health and Safety Administration. House calls can generally be arranged within hours of the appointment request. For this service we bill insurance and there is also a convenience fee paid by the patient.

Transitional Care (Extentionist Program)

Dr. Yirga knows that the days and weeks when a patient returns home from the hospital or a rehabilitation center are both frightening and dubious. Many times a follow up appointment with the patient’s primary care is not set for 6 weeks or longer post discharge. Dr. Yirga can provide a house call within 48 hours of the discharge to go over the discharge recommendations to ensure patient understanding, provide medication reconciliation, and help facilitate necessary follow up services. We can correspond with your regular physician if you’d like, keeping them posted on your health status.
Dr. Yirga bills Medicare/Insurance for this service at no additional charge to the client during their first 30 days home following discharge. Dr. Yirga also works in conjunction with Allegiance Home Care, providing oversight to home care services that many seniors need in this transition period.

We care about YOU! We want to meet both your healthcare needs and also your personal goals and desires. We are sensitive to beliefs, cultures, and end of life wishes.

About Dr. Yirga

Dr. Rahel G. Yirga is board certified by the American Board of Internal Medicine in Internal Medicine. She completed her undergraduate at the University of Maryland (Baltimore County) her medical degree from the University of Maryland School of Medicine (Baltimore, MD), and internal medicine residency at York Hospital’s Department of Medicine, in York, Pennsylvania under the direction of Residency Program Director, J. Wolfe Blotzer. She was one of the original founders of Winchester Medical Center’s Hospitalist Program in 2003. She has been working in private practice since 2011 and has 15+ years of experience serving geriatric patients in the hospital, acute rehabilitation, nursing home, assisted living and home care settings. Her true passion is providing home medical care. She is recognized by her patients as being on the cutting edge of medicine and being their “Guardian Angel.”


Dr. Yirga has privileges at Fairfax hospital, Alexandria hospital and Reston hospital. She serves as the Medical Director for Allegiance Home Care, helping homebound aging adults maintain independence at home.

Dr. Rajdeep Parmar, DO

Dr. Rajdeep Parmar, DO is an internal medicine specialist and has been practicing for 21 years. He graduated from Des Moines Univ Coll Of Osteopathic Medicine & Surgery in 1997. He specializes in diagnosing and treating cross-system illnesses that may affect multiple organ systems. He has extensive experience working with elderly patients in the hospital, skilled nursing facility, acute rehab, assisted living and home care environments.

Nancy Nicolson, ANP

Ms. Nicolson completed her undergraduate nursing degree at Worchester State University in Massachusetts where she trained and worked in some of Boston’s most respected hospitals. Nancy has years of nursing experience in hospice, home health, urgent care, family practice and nursing home care. She attended George Mason University in a program that was a collaboration with the Medical School at George Washington University and graduated with a Master’s in Nursing in 2012. She is board certified by the American Association of Nurse Practitioners as an Adult Nurse Practitioner. As an ANP she has worked in internal medicine in private practice and providing care to nursing home residents. With Allegiance she works with Dr. Rahel Yirga to provide primary care to residents living in assisted living centers.

Diane Hendel, FNP-C, MSN, MBA

Diane Hendel, FNP-C, MSN, MBA brings over twenty years in geriatric care to Allegiance, with a special love for palliative care and neurological conditions. She received her Master’s of Nursing from Marymount University and an Master’s of Business Administration from the Smith School of Business at the University of Maryland. She is an adjunct professor of nursing at Stratford University, and has experience in program development, case management, public health, and health promotion. She lives in Arlington with two dogs and a Bengal cat named Dudley. Her son, Alex, is a graduate student in economics and public policy at the University of Virginia.

Janine Prime, ANP

Janine Prime is board certified in adult and geriatric care with the ANCC. She received her bachelors in nursing from the University of Virginia, a masters in nursing from George Mason University and completed a post-masters nurse practitioner program in adult and geriatrics at Maryville University. Over the course of 13 years she practiced nursing in oncology, hospice, and emergency medicine. As a NP she has focused on primary care for residents in senior communities. She is known for her friendly, energetic nature, and focuses on a holistic, collaborative approach. Building a trusting relationship with excellent communication she feels is pivotal to the quality of care she provides to her patients and their families. Janine lives in Haymarket with her husband and two children where life keeps her busy with kids’ activities, community involvement and teaching CPR and babysitting courses. She enjoys running, music, reading, time with friends and family and following hockey.
Go Caps!

Excellent service, reliable, helpful, trustworthy, couldn’t expect more.”


To Learn more about Physician House Calls and receive pricing info, Contact Our Medical Director, Dr. Yirga today!

Phone: (703) 533-7337


Dr. Yirga and Associates bills a vast number of insurances. For some house call services we also charge a convenience fee which is due up front at your appointment. Our pricing is done in flat rates so that no one is looking at the clock during our appointments. We do not charge membership fees or mileage. What you are quoted is what you will pay. Please contact us for further pricing information.

View and download the HIPAA Notice of Privacy Practices (NPP)

Pin It on Pinterest