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, membership-based 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 doctor is Dr. Sahni — former Mayo Clinic and University of Minnesota faculty, still practicing hospital medicine, still sharp on the complex and the acute. One physician who knows you, with the time to do it right.
“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
Exceptional medicine. Made personal.
An MD with rare depth of 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.
Foundation
High-access primary care$299* / month Founding rate
Comprehensive primary care with full access — prevention, everyday illness, and ongoing condition management, all coordinated by one doctor who knows you.
Primary & preventive care
Chronic disease, prevention, acute illness, and mental health — managed continuously by your own physician, not rotated staff.
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, unhurried visits when you don't.
Weight & cardiometabolic
Metabolic syndrome, prediabetes, 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, multiple specialists — coordinated by one internist who also practices hospital medicine.
After a hospital stay
The transition home is where care breaks down. Dr. Sahni reviews your records, reconciles your medications, and sees you promptly — closing the gap that drives readmissions.
Labs & medications at wholesale
Bloodwork, imaging, and common medications at wholesale — significant savings, no markup, no surprise bills.
Signature
Concierge & longevity$499* / month Founding rate
For patients who want the highest level of physician time and involvement — whether navigating a complex health picture, coordinating multiple specialists, or proactively looking for risk before it becomes disease.
Everything in Foundation
Full primary care, direct access, chronic disease management, GLP-1, hormone therapy, wholesale labs — all included.
Advanced cardiac prevention
AI-analyzed coronary CT (Cleerly), coronary calcium, and advanced lipids (ApoB, Lp(a)) — detecting plaque years before symptoms.
Cancer early detection
Multi-cancer detection blood testing (investigational) and whole-body MRI (investigational), alongside — not instead of — guideline screening.
Genomic & inherited risk
Genetic sequencing to understand inherited risk and guide what we screen for — personalized to your biology.
Metabolic & longevity
Continuous glucose monitoring and insulin-sensitivity testing, with a personalized plan reviewed through the year.
Priority coordination
The smallest panel. Complex cases, specialist coordination, and second opinions — with the most physician time of any tier.
House calls
One home visit included each year (time permitting) — sometimes the best care happens at home.
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.
Executive
Concierge premium By invitationBy invitation Pricing on request
The flagship — the highest level of physician time, access, and longevity, for a select few members. A permanently tiny panel means Dr. Sahni is deeply involved in every part of your care.
Everything in Signature
The full concierge & longevity suite — plus the most physician availability of any tier.
Care at a leading center?
Some of our members also keep a concierge or executive-health relationship at a top-tier institution such as Mayo Clinic or Cleveland Clinic. For them, Executive is the right fit — Dr. Sahni, himself former Mayo Clinic faculty, is their local partner, coordinating that care day-to-day.
Executive physical & quarterly tracking
A comprehensive annual executive physical, with quarterly biomarker and longevity monitoring through the year.
Video accompaniment to specialist visits
Dr. Sahni joins your key specialist appointments by video — advocating, taking notes, and making sure nothing is missed.
Hospital advocacy & family liaison
If you’re hospitalized, physician-to-physician coordination throughout, with your family kept informed.
House calls
Two home visits included each year (scheduled as time permits); additional visits available in the local area.
Concierge administrative support
Records, forms, and coordination handled for you — you don’t touch the system.
Founding-member rates apply through 2026 — a permanently smaller panel than conventional practice. Memberships are offered monthly or annually. Corporate & employer programs from $149/mo →
* Founding rate applies to year one of membership. Standard rates from 2027.
Request an introduction
Leave your name and number — no obligation. Common questions →
Or reach us directly: (916) 512-1912 · drsahni@privatemd.clinic