Direct Primary Care & Concierge Longevity Program in El Dorado Hills
Private MD is a Direct Primary Care and Concierge Longevity Program practice located in El Dorado Hills, California. Board-certified internist Dr. Nishant Sahni offers advanced preventive care, and GLP-1 weight management with virtual visit options.
A Small-Panel Practice in El Dorado Hills
Private MD is based right here in El Dorado Hills, offering a fundamentally different approach to primary care. Dr. Nishant Sahni is a board-certified internist and former Mayo Clinic and University of Minnesota faculty physician who limits his panel to a small number of patients so he can provide the attentive, thorough care you expect.
With Private MD, you get a deliberately small panel, unhurried visits, and continuity across every interaction. For routine follow-ups, prescription refills, and minor concerns, virtual visits are available so you never have to leave home unless you want to.
Dr. Sahni speaks English, Hindi, Urdu, and Punjabi, serving the diverse communities of El Dorado Hills and the surrounding foothills. Whether you need a thorough annual exam, help managing a chronic condition, or a physician who stays involved when specialist care is needed, Private MD is here for you.
Our Two Programs
Direct Primary Care — $149/mo
For adults under 65. Comprehensive internal medicine in an unhurried, small-panel practice. Up to 30 visits per year included; $25 per visit thereafter. Includes annual cardiometabolic labs (ApoB, Lp(a), fasting insulin, hs-CRP), wholesale lab and medication pricing, and the full scope of internal medicine — chronic disease management, preventive care, acute illness, diagnostic evaluation, mental health, and men's and women's health.
Concierge Longevity Program — $299/mo · couples discount available
For adults 65+, or available as an add-on at any age. Everything in Direct Primary Care, plus the longevity medicine layer: annual Longevity Assessment, interpretation of multi-cancer screening (Galleri), pharmacogenomic wellness profiling, wearable data synthesis, non-diabetic CGM pattern analysis, longevity labs, DEXA body composition, whole-body MRI interpretation, epigenetic age clocks, coronary plaque imaging (Cleerly AI), and a personalized Longevity Blueprint. For Medicare-enrolled members, Medicare is billed normally for all covered clinical services; the membership fee is allocated exclusively to non-covered longevity services.
GLP-1 Weight Management
Private MD offers physician-supervised weight management with GLP-1 medications including semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound). The program includes medical evaluation, monthly monitoring, metabolic lab work, and physician-led titration. Follow-up visits can be done virtually. Learn more about the GLP-1 program.
Languages Spoken
Dr. Sahni speaks English, Hindi, Urdu, and Punjabi directly. For all other languages — including Spanish, Mandarin, Vietnamese, Russian, Farsi, Korean, Arabic, Tagalog, and 240+ more — professional medical interpreters are available by phone or video during your visit.