Adult & pediatric medicine, reimagined.
A simpler, more personal way to access primary care — with longer visits, better access, direct communication, and a stronger relationship with your physician.
Start with the physician who feels like the right fit for you.
Dr. Vasanth Kainkaryam
Dr. Diana Rodriguez
Dr. Vasanth Kainkaryam
Internist • Pediatrician • Obesity Medicine
Hello and welcome. I’m Dr. Vasanth Kainkaryam — Internist, Pediatrician, husband, father, author, baker, patient, and someone who believes that life is a blend of free will and destiny. :contentReference[oaicite:1]{index=1}
I created 4 Elements® Direct Primary Care & Wellness Space for one simple reason: to help patients experience a smoother, clearer, more human journey toward health and wellness. Over the years, my path through medicine revealed something important to me: healthcare had become complicated, fragmented, and often impersonal. I knew there had to be a better way. :contentReference[oaicite:2]{index=2}
My philosophy is straightforward. A doctor and a patient should have a direct, meaningful, and two-way relationship. That means honesty. Feedback. Trust. Curiosity. Thinking outside the box. Support. And yes — even a little fun in the process of getting well together. Direct Primary Care allows me to practice medicine the way I believe it was intended to be practiced — without insurance barriers dictating the interaction. It gives us time. It gives us access. It gives us partnership. :contentReference[oaicite:3]{index=3}
- Preventive and longevity medicine
- Cardiometabolic risk reduction
- Evidence-based weight management
- Functional medicine for lifestyle management
- Pediatric and adult primary care
- Integrative approaches, including acupuncture
- Data-driven, personalized care strategies
At 4 Elements®, I have intentionally built more than a clinic. I’ve created a wellness space where primary care, prevention, aesthetics, and community converge — because health is not merely the absence of disease. It is vitality, resilience, and living fully. I believe deeply that this experience is about you, not me. My role is to guide, educate, and support you so that you can make informed decisions and feel empowered in your health journey. :contentReference[oaicite:4]{index=4}
- Board Certified in Internal Medicine (Adult Medicine)
- Board Certified in Pediatrics
- Board Certified in Obesity Medicine
- Acupuncture Detoxification Specialist
- Fellow of the American College of Physicians
- Fellow of the American Academy of Pediatrics
- Doctor of Medicine, University of Rochester School of Medicine & Dentistry
- Master of Science in Health Informatics, Northwestern University
- Executive Master of Business Administration (Strategic Leadership), Valar Institute
- Bachelor of Arts (Linguistics, Biology), Cornell University
- Certified Physician Executive, Certifying Commission on Medical Management (CPE)
Dr. Diana Rodriguez
Internal Medicine • Bilingual Physician
¡Hola! I’m Dr. Rodriguez, your bilingual, bicultural Physician with a Jersey twist! Raised on a blend of English, Spanish, and the lively rhythms of my Dominican roots, I’m here to make your wellness journey as vibrant as my upbringing. :contentReference[oaicite:5]{index=5}
From the hustle of New Jersey to the chill of Massachusetts, I earned my stripes at the Massachusetts College of Pharmacy and Health Sciences. Pre-med was my jam, and ensuring I added some medical humanities for good measure. Then, it was off to Dominica for my medical degree – yes, the one in the Caribbean with amazing weather! :contentReference[oaicite:6]{index=6}
Back on U.S. soil, I fine-tuned my skills at the University of Connecticut during residency. Mental health, health literacy, and the socioeconomic dance with physical health areas I love. Food is my medicine, and motivational interviewing is my mic drop! I’m all about helping people become their own health MVPs, one conversation at a time. Lifelong learner, enthusiastic teacher, and your partner in wellness. Let’s decode your health together! Join the fun – your health journey is about to get a whole lot brighter! :contentReference[oaicite:7]{index=7}
- Board Certified in Internal Medicine (Adult Medicine)
- Doctor of Medicine, Ross University in Dominica
- Bachelor of Arts (Premed, Medical Humanities), Massachusetts College of Pharmacy and Health Sciences
Primary care built around real relationships and better access.
A true relationship with your doctor
Care is designed around knowing you, your story, your goals, and your health over time.
In-depth annual physicals
Comprehensive exams and screenings, including access to advanced testing beyond traditional primary care.
Comprehensive primary care services
Routine visits, preventive care, chronic disease management, and sick visits in one membership model.
Extended, unrushed visits
The page explicitly emphasizes moving away from 7-minute visits and making time for questions and planning.
Same-day or next-day sick visits
When appropriate, members can be seen quickly in person or supported through telehealth.
After-hours access
For urgent issues, the goal is to help members understand what to do next even when the office is closed.
Telehealth + house calls
Telehealth is included when appropriate, and house calls are available for an additional fee.
Specialist coordination
The practice helps patients navigate referrals and coordinate specialist care when needed.
Affordable labs and medications
The page highlights relationships and wholesale access intended to lower costs for common labs and generics.
Truly holistic approach
The doctors describe blending integrative, functional, lifestyle, and precision medicine philosophies.
A team that knows you
Patients get to know the broader team, not just the physician, in a more supportive practice environment.
Healthcare navigation
Membership is framed not only as doctor visits, but also as help navigating a complicated healthcare system.
Transparent monthly pricing based on age.
Fixed monthly fee
Fixed monthly fee
Fixed monthly fee
Fixed monthly fee
Fixed monthly fee
New patients pay a one-time registration fee of $95 when enrolling. Membership is not activated until intake is completed. The page also notes that membership is not charged or activated until the initial intake visit, where patients can interview their selected doctor to make sure the fit feels right.
The current page describes membership as costing less than the price of a cup of coffee a day, with same-or-next-day sick visits, direct call/text/email access, no copays, and no surprise bills.
Specialty care available outside membership.
The current page lists the following services as available for an additional cost and not included in the DPC membership.
Obesity Medicine / Medical Weight Loss
Consultations and structured support outside the standard membership.
Advanced Cardiometabolic + Functional Testing
Additional diagnostic and functional medicine testing options.
Personal Training + Nutrition
Personal training and medical nutrition therapy / dietary coaching.
Massage, Aesthetics, Immigration, Coaching
Massage therapy, aesthetics treatments and procedures, immigration medical exams, and advanced health coaching.
A temporary membership option for non-residents visiting the U.S.
The current page frames this as a way to help visiting relatives or friends feel like they have a primary care physician while in the United States. :contentReference[oaicite:9]{index=9}
Short-term DPC support for international visitors
- Non-resident of the USA (international visitor)
- Annual physical exam
- 3 months of Direct Primary Care membership
- Optional monthly extension at $100/month
- Screening lab tests: lipid panel, complete blood count, hemoglobin A1c, comprehensive metabolic panel
The page notes that visitors should still carry their own health insurance, but this offer is presented as a way to support basic primary care needs and system navigation during their stay.
Ready for a simpler, more personal primary care experience?
Start by meeting the doctor you’re considering, ask questions, and decide if the membership feels like the right fit for you or your family.