Former Mayo Clinic faculty25+ yearsBoard-Certified Internal Medicine
Exceptional medicine, the moment you need it.
Your own physician in Folsom and the greater Sacramento area — a private membership practice, unhurried, attentive, and deliberately small.
“A far superior experience to traditional primary care.”
Private MD is a deliberately small, single-physician practice — direct, unhurried primary care for everyday health, expert diagnosis and management of chronic and complex disease, and an optional longevity track for advanced cardiometabolic, cancer, and genomic screening. Your care is led personally, start to finish, by Dr. Sahni, who practiced and taught at Mayo Clinic and the University of Minnesota and still practices hospital medicine — so he stays sharp on complex and acute illness. One physician who knows you, with the time to do it well.
“The system that trained me also gave me fifteen minutes a patient and two thousand names on a panel. I started this practice to do what I was trained to do — know my patients, think carefully, and make sense of the tests and specialists, not just order them.”
— Nishant Sahni, MD, MS · published research & references →
Why this practice
Your data. Your biology. Real expertise.
An MD with unparalleled experience
Board-certified internist, former Mayo faculty — 25 years in.
Sharpened in the hospital
Still on hospital service — so nothing complex slips past.
Grounded in evidence
No supplements, no “protocols.” Just evidence-based medicine and a doctor’s judgment.
Built around your life
Every result folded into your care, by one doctor who knows you.
Membership replaces insurance friction with a direct relationship. You reach your physician by call and text, visits are unhurried, and access is same-day when you need it. Labs, imaging, and common medications are passed through at wholesale — significant savings, never marked up. Care stays comprehensive — chronic disease, prevention, acute illness, mental health, and coordination of your specialists — chosen independently for you, never limited to a single hospital network — all held together by one physician.
Essential
Everyday primary care$149* / month Founding rate
Straightforward, unhurried primary care for healthy adults who want a real relationship with their physician — without insurance friction.
Primary & preventive care
Annual visits, prevention, and acute illness — managed personally by Dr. Sahni.
Same-day & direct access
Reach Dr. Sahni directly by call and text — not a call center or triage line; same-day access when you need it.
Labs & medications at wholesale
Bloodwork, imaging, and common medications at wholesale — significant savings, no markup, no surprise bills.
Foundation
Comprehensive primary care + access$249 / month Founding rate
Everything in Essential, plus weight & cardiometabolic care, hormone therapy, and full management of chronic and complex disease — coordinated across your specialists by one internist.
Primary & preventive care
Chronic disease, prevention, acute illness, and mental health — managed continuously by your own physician.
Same-day & direct access
Reach Dr. Sahni directly by call and text — not a call center or triage line; unhurried visits and same-day access when you need it.
Weight & cardiometabolic
Metabolic syndrome, prediabetes and diabetes, and weight — with GLP-1 medications when clinically indicated.
Hormone health
Testosterone or menopausal hormone therapy, prescribed and managed when clinically appropriate.
Chronic disease management
Multiple conditions, multiple medications, and several specialists — coordinated and reconciled by one internist who also practices hospital medicine.
After a hospital stay
The transition home is where care breaks down. Dr. Sahni reviews your hospital records and discharge plan, reconciles your medications, and sees you promptly — closing the gap that drives avoidable readmissions.
Labs & medications at wholesale
Bloodwork, imaging, and common medications at wholesale — significant savings, no markup, no surprise bills.
Signature
Concierge + advanced screening$349 / month Founding rate
Everything in Foundation, plus advanced screening to look for cardiometabolic and cancer risk more comprehensively than conventional primary care — guided by your individual biology.
Advanced cardiac prevention
AI-analyzed coronary CT (Cleerly), coronary calcium, and advanced lipids (ApoB, Lp(a)) to detect coronary plaque that can develop years before symptoms.
Cancer early detection
Multi-cancer detection blood testing (investigational) and whole-body MRI (investigational), used alongside — not instead of — guideline screening.
Genomic & inherited risk
Genetic sequencing to understand inherited risk and help focus what we screen for.
Metabolic & longevity
Continuous glucose monitoring and insulin-sensitivity testing, with a personalized plan reviewed through the year.
Chronic disease management
Priority coordination and the most physician time — for multiple conditions, multiple medications, and several specialists, on the smallest panel.
Full screening menu
See the complete advanced testing and longevity program on our screening programs page.
Several of these are emerging or investigational tools (multi-cancer detection, whole-body MRI, genomic risk) that supplement — not replace — guideline-recommended screening such as mammography and colonoscopy. We always tell you which is which, and why it fits your situation.
Most members who come to us for longevity begin with Signature — a deliberately small panel of about 200 members, versus 2,000+ in a typical practice. An Executive (Concierge Premium) membership is available by invitation, pricing on request. Founding rates above are available through 2026.
Request an introduction
Leave your name and number — no obligation. Common questions →
Or reach us directly: (916) 512-1912 · drsahni@privatemd.clinic