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Nirav Shah: Path to FIRE

A stroke neurologist by training and landscape photographer by passion, Nirav H. Shah has achieved significant breakthroughs in improving patient care and solving healthcare challenges by leveraging scalable technologies.

Nirav is board-certified in neurology, stroke medicine, carotid neurosonology, transcranial Doppler ultrasound, and neuroimaging.

Nirav has received his medical training all over the United States, which includes medical school in Indiana, residency in Miami, and fellowship in San Francisco. Then he moved to Seattle and started practicing stroke at Swedish Medical Center.

Crater Lake, Oregon

As the Stroke Medical Director at Swedish Neuroscience, the largest stroke program in the Pacific Northwest, he managed and directed stroke care for the facility’s Comprehensive Stroke Center and took care of over 2000 stroke patients in the Seattle area. 



While working with Swedish, he conceived the idea of a game-changing technology start-up in tandem with his partner Jorge Sanchez. At this point, he was also completing his fellowship in vascular neurology at the University of California, San Francisco.

Nirah Shah my cofounder of Alertive with me educating patients about RPM

This idea led to the formation of Alertive Healthcare, a company that went on to pioneer the use of digital health sensors to empower providers to monitor patients’ cardiac health using reimbursable Remote Physiologic Monitoring (RPM). In 2019, Nirav successfully raised a seed round for Alertive and quit his job at Swedish.

Right before the breakout of the Covid-19 pandemic in 2020, Nirav became the father of his first daughter. In October 2021, Nirav and Jorge decided to sell Alertive Healthcare to Carbon Health. Even after the acquisition of Alertive Healthcare by Carbon Health, Nirav continued to provide his expertise and support to the company before leaving Carbon Health in September 2022 to start a new chapter along with his co-founder, Jorge. 


In 2023, Nirav and Jorge joined Physician on FIRE, a popular online platform dedicated to assisting physicians and other high-income professionals to take control of their finances and enjoy a worry-free retired life. His new journey is about helping fellow physicians and others achieve financial freedom and optional retirement so they can pursue their aspirations and dreams. 

Beyond his professional commitments, Nirav is an avid traveler and loves capturing the beauty of nature through his lens. His love for photography has taken Nirav on journeys across the planet in search of transient beauty in nature. All his latest artwork can be found online at


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