Providers

Robert Smith, DO
Dr. Robert Smith is board certified in Nephrology & Internal Medicine. He has been in the Des Moines area since 2002. Dr. Smith received his Doctor of Osteopathic Medicine at the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri. He completed Internal Medicine residency at the University of Health Sciences College of Osteopathic Medicine in Kansas City, Missouri; and Nephrology Fellowship at Rowan University in Stratford, New Jersey.
In his free time, Dr. Smith enjoys spending time with his family.
 
                            Clinic:Des Moines
 
                            Outreach Clinics:Perry
Oskaloosa
                        
Jobinson Thomas, MD
Dr. Jobinson Thomas is board certified in Nephrology & Internal Medicine. He has been practicing in Des Moines area since 2006. Dr. Thomas received his medical degree at Christian Medical College in Ludhiana, Punjab, India. He completed Internal Medicine residency at Worcester Medical Center in Worcester, Massachusetts. Dr. Thomas completed Nephrology Fellowship at Loyola University in Chicago, Illinois and Transplant Fellowship at the University of Cincinnati in Cincinnati, Ohio. He has special interests in Kidney and Pancreas Transplantation Medicine. Dr. Thomas serves as Transplant Nephrologist at the Des Moines area hospitals.
In his free time Dr. Thomas enjoys spending time with his family, their many activities and traveling.
 
                            Clinic:Des Moines
 
                            Outreach Clinics:Ottumwa
Centerville
                        
Patrick Chua, MD
Dr. Patrick Chua is board certified in Nephrology & Internal Medicine. He has practiced in the Des Moines area since 2012. He received his medical degree from the University of Santo Tomas in Manila, Philippines. He completed Internal Medicine Residency at Saint Vincent Hospital, Worcester, Massachusetts and Nephrology Fellowship at the University of Rochester in Rochester New York.
In his free time Dr. Chua enjoys traveling, cooking and spending time with his family.
 
                            Clinic:Des Moines 
West Des Moines
                         
                            Outreach Clinics:Mt. Ayr
Corydon
                        
Prem K.G. Chandran, MD
Dr. Prem Chandran is board certified in Nephrology & Internal Medicine. He has been practicing in the Des Moines area since 1984. Dr. Chandran received his medical degree at Kerala University in Kerala State, India. He completed Internal Medicine and Nephrology Residencies at Medical College, Trivandrum, Kerala, India; Christian Medical College, Madras, India; Royal Halifax Infirmary, Halifax, England; and University of British Columbia, Vancouver, B.C., Canada. Dr. Chandran completed Nephrology Fellowships at Cincinnati Medical Center, Cincinnati, Ohio and Loyola University, Chicago, Illinois.
In his free time, Dr. Chandran enjoys tennis and spending time with his family.
 
                            Clinic:Des Moines
 
                            Outreach Clinics:Newton
Creston
                        
Arsalan Alvi, MD
Dr. Arsalan Alvi is board certified in Nephrology & Internal Medicine. He recently moved to the Des Moines area following completion of Fellowship. Dr. Alvi attended Dow Medical College in Karachi, Pakistan. He completed Internal Medicine residency at the Quinnipiac University Frank H. Netter MD School of Medicine/St. Vincent’s Medical Center in Bridgeport, Connecticut, and Nephrology Fellowship at the University of Minnesota in Minneapolis.
In his free time, Dr. Alvi enjoys spending time with his wife.
 
                            Clinic:Des Moines
 
                            Outreach Clinics:Oskaloosa

Maria Astra Fecundo, ARNP
Maria is a certified Advanced Geriatric Nurse Practitioner. Maria is new to the Nurse Practitioner role but has been a practicing Registered Nurse since 2005. Maria is a Des Moines transplant, having received her Bachelor of Science in Nursing at Filamer Christian College, Philippines. Maria completed her Master's of Science in Nursing at Purdue University Global in Indianapolis, Indiana. Maria brings to our clinic more than a decade of dialysis nursing experience.
 In her free time, Maria enjoys spending time with her family and traveling with them.
 
                