About Us

We are excited to help you in your journey. We are a small team, to keep
things nimble and efficient. We bring a variety of skills and experiences,
but in common is our passion to transform your experience.

About Us

We are excited to help you in your journey. We are a small team, to keep things nimble and efficient. We bring a variety of skills and experiences, but in common is our passion to transform your experience.

Dr. Kainkaryam

Hello and welcome! I’m Dr. Vasanth Kainkaryam — Internist, Pediatrician, husband, father, author, baker, patient, and believer that life is a mix of free will and destiny.

I created 4 Elements™ Direct Primary Care for a simple reason: to help patients have a smooth experience in their journey for health and wellness.

My philosophy is that a doctor and a patient should have a direct, meaningful, and two-way relationship. Therefore, I believe in feedback, honesty, trust, learning, thinking out of the box, support, and even a little fun in our partnership to get well together. Everything I learned about healthcare has led me to build this practice and serve my community.

I believe deeply this experience is about you, not me. But in case you’re curious, below are my credentials and the 4 elements of my practice:• Master of Science in Health Informatics,
Northwestern University (MS)
• Certified Physician Executive, Certifying
Commission on Medical Management (CPE)
• Acupuncture Detoxification Specialist (ADS)

• Board Certified in Internal (Adult) Medicine (FACP)
• Board Certified in Pediatrics (FAAP)
• Board Certified in Obesity Medicine (DABOM)
• Doctor of Medicine, University of Rochester
School of Medicine & Dentistry (MD)

• Master of Science in Health Informatics,
Northwestern University (MS)
• Certified Physician Executive, Certifying
Commission on Medical Management (CPE)
• Acupuncture Detoxification Specialist (ADS)

Engage

Engagement is the first step in any relationship. In our practice, we give you the option to engage however you would like: longer face-to-face visits, video, phone calls, email, or texting. What is most important in health is not what happens at the doctor’s office, but rather the engagement in between.

Educate

Education is fundamental to health. All too often patients are lectured, “lose weight, exercise more, eat healthy” with little or no education on how to actually accomplish their goals. In our practice, we take the time to educate and ensure all your questions are appropriately answered.

Empower

Empowerment denotes who drives the healthcare experience. In our practice, we believe it’s you! Our goal is to ensure that you are empowered to make your own health care decisions. We provide our patients choices and options to integrate modalities of allopathic, integrative, and other approaches.

Encourage

Encouragement is the recipe to persistence. The healthcare system is intimidating to navigate, and through this individualized, relationship-based care, we provide a supportive and safe environment. We believe that positivity and encouragement are the solutions to sustaining wellness.

Our Medical Operations Externpreneurs who will be helping you along your journey are all medical school graduates from other countries who are working in a fusion role between a Medical Assistant and an Administrative Assistant, as they continue to take their US Medical Licensing Exams so they can pursue clinical training in the US. While Physicians by education, they are not currently eligible or licensed to work in the capacity as a doctor, but are able to actively refine their theoretical knowledge of medicine and continue to learn as they work in the day-to-day intricacies in care coordination of the US health care system so that one day, they can bring these skills all together as they manage their teams.

Emanuel Salcedo Davila

Medical Operations Externpreneur

Emanuel completed his medical school in Peru, and has been working
as a medical interpreter for some time prior to an Observership at the
Practice and eventually as one of our Externpreneurs. He aspires to
pursue his training in primary care.

Moshe (Moe) Karp

Medical Operations Externpreneur

Moe completed his medical school and Master’s in Public Health from St. George’s University in Grenada and has worked as a paramedic for over 10 years.

Nidhi Anchan

Medical Operations Externpreneur

Nidhi completed her medical school in the United Arab Emirates and has worked in the hospital system and Intensive Care Units there for two years prior to moving to the US.