Private MD
Quick Facts
| Membership Price Range | Foundation (entry concierge membership) | Signature (adds advanced longevity screening) | Executive (by inquiry) — founding-member rates, flat monthly membership, cancel anytime |
| Practice Type | Hybrid |
| Location | Folsom, El Dorado Hills, Granite Bay, Roseville, Sacramento, Cameron Park, Carmichael, Citrus Heights, Elk Grove, Fair Oaks, Lincoln, Loomis, Orangevale, Rancho Cordova, Rocklin |
| Doctors | Nishant Sahni MD, MS, Internal Medicine |
| Panel Size | 200 patients per doctor |
| Telehealth Type | Virtual visits (phone, text, secure message via Spruce app, patient portal) |
| Insurance Accepted | Medicare (Concierge tier) |
| Telehealth Available | Yes |
About
At Private MD, Dr. Nishant Sahni delivers full-spectrum internal medicine with a panel capped at 200 adults. He serves patients across Folsom, El Dorado Hills, Granite Bay, Roseville, Sacramento, and surrounding communities. After two decades teaching residents and managing critically ill patients at Mayo Clinic and the University of Minnesota, Dr. Sahni built this practice to do medicine the way he was trained to do it. Private MD offers two membership tiers. The Foundation tier covers everyday primary care with same-day access, 45-minute visits, and no per-visit charges. The Signature tier adds a full longevity program: AI-quantified coronary CT imaging, multi-cancer detection blood testing, whole-body MRI, genetic and genomic screening, and continuous glucose monitoring assessment. An Executive tier is available by inquiry. Every clinical decision rests on diagnostic data and careful interpretation. The practice uses no upsells and no supplement protocols.
Details
Phone
(916) 512-1912Website
Visit websiteMembership Details
One flat monthly membership at founding-member rates. Two main tiers: Foundation (everyday primary care) and Signature (adds advanced cardiometabolic, cancer, and genomic screening). Executive tier available by inquiry. Couples can ask about combined pricing. Adults 18 and up. No per-visit charges. No copays, no deductibles.
Typical Appointment
45 minutes
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Frequently Asked Questions
Private MD offers two main membership tiers at founding-member rates. Foundation covers everyday primary care. Signature adds advanced cardiometabolic, cancer, and genomic screening. An Executive tier is available by inquiry. Couples can ask about combined pricing. The practice charges no per-visit fees, no copays, and no deductibles.
The Foundation tier covers full-spectrum primary care: chronic disease management, preventive care, mental health management, GLP-1 and hormone therapy, wholesale labs, and telehealth. Members receive 45-minute appointments, same-day access, and direct messaging through the Spruce app. No per-visit charges apply.
Signature adds the full longevity screening program to everything in Foundation. That includes AI-quantified coronary CT imaging with Cleerly, ApoB and Lp(a) testing, multi-cancer detection blood testing, whole-body MRI, genetic and genomic testing, pharmacogenomics, DEXA body composition, continuous glucose monitoring assessment, and wearable data integration.
Private MD operates on a flat monthly membership model. The practice does not bill insurance for membership fees. Members can use their own insurance for hospital visits, specialist referrals, and prescriptions at outside pharmacies. The practice also connects members with wholesale lab pricing through Quest and recommends Cost Plus Drugs and Amazon Pharmacy for affordable generics.
Private MD orders labs through Quest using a wholesale group account. A full annual panel typically runs $17 to $25 for members, versus $200 to $500 at standard hospital pricing. Lab orders go through the patient portal directly.
Yes. Dr. Sahni offers telehealth visits for members. md patient portal.
Private MD caps its panel at approximately 200 patients. That limit lets Dr. Sahni know each patient's full clinical picture and remain available for same-day visits and timely communication.
The practice invites prospective patients to request a free introductory call. Dr. Sahni will discuss which membership tier fits your needs and walk through the current pricing. Adults 18 and older are eligible.
Yes. Private MD offers discounts for healthcare workers, families, and community partners. Prospective members can ask about these options during the introductory call.
When Dr. Sahni is on hospital service, a trusted physician colleague covers his Private MD patients. Members always have a physician available, not a nurse line or after-hours voicemail.
Practice last updated June 8, 2026