A small practice · two tracks of care

Comprehensive primary care, and a serious approach to longevity.

Private MD is a deliberately small, single-physician practice — direct, unhurried primary care for everyday health, with an optional longevity track for advanced cardiometabolic, cancer, and genomic screening. One physician who knows you, with the time to do it well.

We screen more deeply. Conventional primary care often waits for symptoms. Our longevity track uses advanced cardiac, metabolic, cancer, and genomic screening to look for risk earlier — using emerging tools alongside, not instead of, guideline-recommended screening.

Download our practice brochure (PDF) ↓

Dr. Nishant Sahni, MD, MS — board-certified internist, former Mayo Clinic and University of Minnesota faculty
Nishant Sahni, MD, MS
Board-Certified Internal Medicine · MS, Immunology

An internist who practiced and taught at Mayo Clinic and the University of Minnesota, and who still practices hospital medicine — so he stays sharp on complex and acute illness. Your care is led personally by him, start to finish.

Why this practice

Your data. Your biology. Real expertise.

MD

Physician-interpreted

Every result reviewed by a board-certified internist — not an algorithm, not a wellness coach.

+

Hospital-tested judgment

Still practicing hospital medicine after 25+ years — so your care stays sharp on complex and acute illness, not just the routine.

=

Evidence-based only

No supplements, no upsells, no “protocols.” Just diagnostic data and clinical interpretation.

Care that fits you

Findings folded into your everyday care — one physician who knows the whole picture.

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

Everyday primary care

$249 / month Founding rate

Complete primary care for adults — the relationship most people want from a physician, without the rush of insurance-based medicine.

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.

AI coronary plaque analysis
Cleerly — soft, non-calcified plaque a calcium score misses
Continuous glucose profile
CGM — metabolic phenotyping

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. An Executive (Concierge Premium) membership is available by invitation, pricing on request. Founding rates above are available through 2026.

Find out where you fit

A short introduction with Dr. Sahni — your goals, what fits, and how to get started. No obligation.

Request an introduction Call (916) 512-1912