Background <p>An important element in providing high-quality healthcare to the poor is the technology used in telemedicine, which enables patients everywhere to access healthcare. This case study at a telemedicine center of a private tertiary care hospital (PTCH-TC) in India uses a qualitative approach, guided by telemedicine principles, and aims to explore the essential competencies for telemedicine physicians to effectively deliver specialized healthcare services, to support healthcare providers in enhancing the quality of care offered to society.</p> Methods <p>Data were collected through observation, followed by in-person interviews with speciality doctors, branch doctors, patients, and administrators. This qualitative study employed grounded theory, and reporting of results adhered to the Standards for Reporting Qualitative Research (SRQR).</p> Results <p>The findings highlight the significance of patient-centered communication, clinical readiness, and organized remote care procedures in providing high-quality specialist care through telemedicine. PTCH-TC’s telemedicine processes and consultation types, the initial hesitancy of specialists, how they interpreted national guidelines, the importance of prior experience, and the necessary skills for patient-end physicians were among the major issues. Additionally emphasized were patient/family involvement, informed consent procedures, and difficulties with digital infrastructure, coordination, and communication. The results show where telemedicine skills need to be strengthened, especially for new practitioners working in multi-specialty, complex doctor-to-doctor consultation models.</p> Conclusion <p>India’s digital health policy focuses on using digital tools to improve the efficiency and outcomes of the healthcare system with a particular emphasis on telemedicine services. No one should be denied medical care simply because they live in a remote location. While the PTCH-TC doctor-to-doctor telemedicine service attempts to expand medical services, provide specialized care, and increase access to important medications are admirable. This service can potentially improve healthcare delivery in various locations worldwide by encouraging interoperability and emphasizing patient-centered care.</p>