Meet Dr. Shiari
Safa Shiari MD, MPH, FACP, DABOM
Internal Medicine & Obesity Medicine Physician
MPH, Epidemiology & Biostatistics
Credentials & Background
Education & Training
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Medical Doctor (MD) — Al-Nahrain University, Baghdad, Iraq — (2009)
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Masters in Epidemiology and Biostatistics (MPH) — Texas A&M Health Science Center — (2014)
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Internal Medicine Residency — Henry Ford St. John Hospital, Detroit, Michigan — (2016-2019)
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Chief Resident, Internal Medicine — Henry Ford St. John Hospital — (2020)
Certifications & Designations
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Board-Certification in Internal Medicine (ABIM) — (2019)
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Diplomate of the American Board of Obesity Medicine (ABOM) — (2024)
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Fellow of the American College of Physicians (FACP) — (2022)
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Member since 2016
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Certificate in Physician Leadership — American College of Physicians (ACP) & American Association for Physician Leadership (AAPL) — (2022)
Why I Founded Present Future Health
I trained in internal medicine at Henry Ford St. John Hospital in Detroit. I was Chief Resident there during COVID and stayed on as attending faculty, teaching the residents and medical students who are now practicing.
I then spent three years at Mayo Clinic Health System managing a community outpatient panel. Most of my patients were in their 60s, 70s, 80s, and 90s. That's where the philosophy behind this practice took shape. I learned that the most expensive thing in medicine isn't a hospitalization — it's losing the ability to live independently. I watched too many patients lose mobility, cognition, and autonomy in slow increments that could have been addressed years earlier.
I also learned what the high-volume insurance-based model can't do. There isn't time to think strategically about a complex patient in fifteen minutes. There isn't continuity when no single physician holds the whole picture. There isn't freedom to deprescribe a medication that's no longer serving someone when the system rewards adding, not subtracting.
I built Present Future Health because I treat my patients the way I like being treated. Unhurried. Coordinated. Prevention-first. Direct-pay, so that what I recommend is what I think you actually need — not what an insurance code allows.
My Medical Philosophy
My medical and public health training shaped a prevention-first approach grounded in evidence rather than trend. My MPH in epidemiology and biostatistics from Texas A&M shaped how I read evidence. I'm comfortable telling you what the data does and doesn't actually show — rather than passing along whatever's trending on social media. Three principles guide every patient interaction.
Longitudinal Analysis. I look at how your numbers are moving over years, not just where they sit today. A single lab can be "normal" while the trajectory has been heading the wrong direction for a decade.
Medication Stewardship. More pills aren't always the answer. Many patients need fewer. I'm willing to start a medication when the evidence is clear, and equally willing to deprescribe one that's no longer serving you.
Functional Longevity. Care decisions are made for how you live, not just how your labs look. The goal isn't a perfect panel at 50. It's walking independently at 85.
What to Expect From Our Partnership
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Unrushed conversations that feel clear, focused, and human.
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Confidence in decisions, grounded in evidence and practicality.
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Strength, function, and independence—whether you're improving from a setback or sustaining what you have.
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Care plans that adapt with your clinical baseline and health goals—not one-size-fits-all.
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Medications and testing used deliberately when clinical benefit clearly outweighs risk, never as a substitute for foundational changes like nutrition, strength training, and sleep.
Ready to experience healthcare that revolves around you?