Precision. Personalized Neurological Care.

COMPASSIONATE NEUROLOGICAL CARE IS IN OUR DNA

Advanced Multispecialty Neurology Care.
Delivered Personally.

Dominion Neurology Associates is a physician-led neurological institute dedicated to delivering advanced expertise in a refined, patient-centered setting. Neurological conditions demand clarity, discipline, and thoughtful clinical judgment. Our board-certified neurologists combine advanced training with individualized attention to provide comprehensive, evidence-based care tailored to each patient.

We believe excellence in neurology should be precise, coordinated, accessible, and accountable.

The DNA Standard

As an independent, physician-directed practice, our medical decisions are guided by clinical expertise not institutional constraints.

This structure allows us to uphold rigorous neurological standards while offering the continuity and accessibility of private specialty care.

We prioritize:

  • Comprehensive, unhurried consultations
  • Methodical diagnostic evaluation
  • Evidence-based treatment planning
  • Direct physician oversight
  • Coordinated multidisciplinary collaboration
  • Clear communication and shared decision-making

When advanced therapies, infusion treatments, or hospital-level care are required, we coordinate seamlessly with infusion centers, hospital teams, academic partners, and specialty physicians to ensure uninterrupted continuity of care.

Neurology is complex. Your care should not be.

Meet Our Physicians

Our physicians bring advanced subspecialty training, leadership experience, and a commitment to disciplined neurological practice. We remain intentionally physician-led to ensure clinical independence and direct oversight of patient care.

Services

Epilepsy & Seizure Disorders

We provide comprehensive evaluation and long-term management of seizure disorders using advanced diagnostic tools and individualized treatment strategies....

Memory Disorders & Cognitive Decline

We provide structured evaluation and long-term management of memory disorders, mild cognitive impairment, and dementia syndromes....

Migraine & Chronic Headache Management

We offer thorough evaluation and long-term management of migraine and chronic headache, using advanced diagnostic tools and personalized treatment plans...

Movement Disorders

We evaluate and manage: Parkinson’s disease, Essential tremor, Dystonia and Atypical parkinsonian syndromes....

Deep Brain Stimulation (DBS) Management

We collaborate with leading neurosurgeons in San Antonio for surgical placement and maintain direct postoperative neurological oversight....

Multiple Sclerosis & Autoimmune Neurology

For patients requiring infusion-based therapies, we coordinate disease-modifying treatments through trusted infusion centers while maintaining direct neurological supervision....

Neuromuscular Disorders

We work closely with infusion providers, hospital teams, and multidisciplinary specialists to ensure safe administration and seamless continuity of care....

Peripheral Neuropathy

When immune-mediated neuropathies require infusion-based therapies such as IVIG, we coordinate treatment protocols and monitoring in partnership with infusion providers...

Spasticity Management (Including Post-Stroke Spasticity)

For complex neurological injuries requiring inpatient rehabilitation or acute admission, we coordinate direct hospital collaboration....

Stroke & Cerebrovascular Disease

When acute intervention or hospital admission is required, we coordinate directly with hospital teams and specialty services to ensure seamless...

Integrated Care & Partnerships

Dominion Neurology Associates recognizes that complex neurological conditions often require multidisciplinary collaboration.

We maintain professional partnerships with:

  • Established infusion therapy providers
  • Academic medical centers in San Antonio
  • Hospital-based specialty services
  • Renowned physicians across cardiology, internal medicine, neurosurgery, and rehabilitation

This coordinated network allows us to facilitate advanced therapies, infusion treatments, and hospital admissions when necessary — while maintaining continuity under direct neurological oversight.

Extended Care Program

A more personalized, responsive, and elevated neurology experience. This enhanced services program adds convenience and access on top of the Medicare-covered or insured care patients already receive but never replaces it.

  • Priority Scheduling: Faster access to appointments, including availability outside our standard scheduling process.
  • 24/7 Access to Our Healthcare Team: A dedicated phone line for any questions about condition changes or medications, any time of day (non-emergency concerns).
  • Same-Day / Next-Day Continuity of Care: Receive prompt access to neurological care from your established neurologist in person or telemedicine or from another trusted neurologist within our practice who is fully informed of your care.
  • Extended, Unhurried Visits: Individualized care planning with our Providers, without the typical time constraints.
  • Dedicated Concierge Support: A single point of contact ensuring a smooth, consistent experience across every step of your care.
  • Personal Insurance Navigation: Hands-on help understanding coverage, prior authorizations, and next steps.
  • Care Coordination Beyond the Office Visit: We manage referrals, schedule follow-ups, and help with hospital care-related logistics.
  • Direct Line to Our Staff: Reach our team directly for non-urgent scheduling, forms, and general office needs.
  • Practice Advocacy & Care Navigation: Support understanding next steps and connecting to the right resources in the healthcare system.
  • Additional Wellness Visits: More wellness check-ins beyond what standard Medicare coverage provides.
  • Responsive by Design: Non-urgent messages answered within 4–8 business hours; after-hours messages within 12–24 hours.
  • Comprehensive Brain Health & Wellness Plan (Annual Member Benefit): A yearly, whole-person wellness plan built specifically for brain health, including:
  1. Medication review
  2. Fall risk assessment
  3. Cognitive wellness recommendations
  4. Nutrition and exercise guidance
  5. Sleep health review
  6. Coordination with primary care and other specialists
  7. Longer, more personalized visits
  8. Help after hospitalization

Contact our office for current membership pricing. This membership enhances the care patients already receive through Medicare or private insurance. It does not replace it. Medicare-covered services are always billed separately, and membership fees never apply to deductibles, co-pays, or co-insurance.

Compliance note: Participation in the Premier Extended Care Membership is completely voluntary and does not affect a patient’s ability to receive standard medical care from Dominion Neurology Associates. This is not an insurance plan and does not guarantee outcomes or response times. Administrative staff do not provide clinical advice. For medical emergencies, patients should call 911 or go to the nearest emergency room.

For Referring Physicians

We collaborate closely with primary care physicians, cardiologists, hospitalists, and specialty colleagues.

Referring physicians can expect:

  • Timely consultation access
  • Direct physician-to-physician communication
  • Thorough diagnostic assessment
  • Concise documentation
  • Coordinated shared-care planning
  • Structured post-hospital transitions
  • Facilitation of infusion therapies and advanced neurological treatments

Our goal is to strengthen the primary relationship while providing disciplined neurological expertise and seamless specialty coordination.

New Patient Experience

We have streamlined our intake process to respect your time and comfort. From the moment you contact us, you are part of the DNA family, guided by care and precision.

Your initial consultation includes:

We believe confidence begins with clarity.

PROUD TO BE PART OF PRIVIA MEDICAL GROUP

Dominion Neurology Associates is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients. To learn more about Privia Medical Group and find other Privia doctors, please visit our website.

Dr. Ishan Adhikari, MD

Board-Certified Neurologist | Founder & Medical Director

Ishan Adhikari, MD, FAAN, MS-HCM

Adjunct Clinical Associate Professor of Neurology Epilepsy, Neuromuscular and Autonomic Disorders

Dr. Adhikari founded Dominion Neurology Associates to create a physician-led neurological institute grounded in rigorous evaluation and individualized care. He specializes in epilepsy, migraine disorders, stroke, neuromuscular disease, peripheral neuropathy, movement disorders, and cognitive impairment.

Dr. Ishan Adhikari, MD

Board-Certified Neurologist | Founder & Medical Director

Chinedu Obi, MD

MD Board Certified Neurologist Vascular Neurology Specialist

Dr. Chinedu Obi is a board-certified neurologist and fellowship-trained vascular neurologist dedicated to providing compassionate, patient-centered care for individuals with neurological conditions. He combines advanced clinical expertise with a thoughtful, individualized approach, ensuring patients and their families feel heard, informed, and…

Dr. Jessie Jacobson

Board-Certified Neurologist

Jessie Jacobson, DO

DO Assistant Professor of Neurology Uniform Services University Board Certified Neurologist, Movement Disorders Specialist

Dr. Jacobson is a Board-Certified, Fellowship trained, neurologist specializing in Movement Disorders. She completed her neurology residency at Brooke Army Medical Center in San Antonio Texas, where she developed a strong foundation in comprehensive neurological care.