I am a
fractional CPO, founder, and investor.

Hi, I'm Nigam.

© Nigam Gandhi. All rights reserved.

Most healthcare AI pilots succeed technically. Very few scale across clinical teams.The technology works. Clinicians aren't using it consistently. Pilots aren't converting to enterprise deals. Expansion timelines slip. The investor narrative gets harder to defend.The real problem isn't the product. It's the gap between a successful pilot and a repeatable deployment.We've scaled an AI-enabled care management solution from 40 to 2,300 clinicians across 20 markets. We know what actually stops adoption at go-live: missing ownership, workflow friction, misaligned stakeholders.We close that gap using the S.C.A.L.E. Framework. Surface the real blockers. Craft adoption infrastructure. Adopt at scale. Leverage clinical outcomes. Expand repeatably.If your AI deployment is stalling after go-live, let's talk. What's actually in the way?

About Nigam

I run an independent consulting practice in Dallas, helping healthcare organizations turn AI and digital investments into practical, usable workflows. The work is grounded in operational reality and focused on outcomes that matter beyond a slide deck.Before consulting, I spent over a decade as a healthcare operator leading digital and strategy initiatives. I’ve been accountable for results, not just recommendations, and I care about building things people actually use.My wife and I have three little girls, so life is equal parts chaos and joy. When I’m not chasing kids, I spend time reading and listening to ideas that sharpen how I think, eating well, and focusing on long-term health with an emphasis on prevention and longevity.