Relationship-centered care for health, wellness, and longevity.
At 4 Elements Direct Primary Care & Wellness Space, our mission is to deliver relationship-centered, accessible, and integrated medical care that empowers individuals to live healthier, longer, and more fulfilling lives. We believe in bridging traditional allopathic medicine with integrative, precision, lifestyle, and functional medicine approaches to craft personalized, goal-driven wellness plans.
By offering healthcare navigation services and advanced, state-of-the-art testing, we’re committed to improving both healthspan and lifespan for people from all walks of life.
We bring primary care, wellness services, advanced testing, aesthetics, and supportive coaching together in one connected experience designed around access, clarity, and long-term vitality.
Built to make healthcare feel clearer, more personal, and more human.
Our model is designed around time, trust, access, education, and individualized support.
Relationship-centered care
We believe the doctor-patient relationship should be direct, meaningful, and two-way.
Integrated thinking
We bridge traditional allopathic medicine with integrative, precision, lifestyle, and functional approaches.
Healthspan + lifespan
We focus on helping people live healthier, longer, and more fulfilling lives.
Navigation + testing
We offer healthcare navigation services and advanced, state-of-the-art testing to support better outcomes.
Meet the physicians behind 4 Elements.
Dr. Vasanth Kainkaryam
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.
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.
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.
- 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.
Below are my credentials — and the four foundational elements that shape how I practice medicine.
- 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
¡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.
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!
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!
- 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
A multidisciplinary team supporting the full patient experience.
The current About page highlights a broad team across patient success, operations, virtual support, nursing, massage, hypnotherapy, aesthetics, and care environment support. :contentReference[oaicite:1]{index=1}
Moshe (Moe) Karp, MPH, MBA
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.
*Moe is a Physician by education but not yet licensed to practice medicine in the United States.
Elizabeth Ramirez, PhD, NBC-HWC
Liz joined the 4 Elements Team with a passion for Nutrition! With a PhD in Food Technology and Nutrition, and a Master’s degree in Agricultural Sciences and Animal Nutrition, Liz enjoys helping people learn how to cook and shop while on a budget. She loves helping people advocate for their health.
Melissa Asencio
Melissa brings over 5 years of customer service expertise, including 2 years in healthcare, where she’s excelled in roles ranging from outpatient admitting to insurance verification and bilingual member support. With strong communication skills, fluency in English and Spanish, and experience in CRM systems and healthcare operations, she is passionate about helping patients navigate care with clarity and compassion. Melissa is excited to contribute her skills to a dynamic, patient-focused team.
Eliana Urbina
Eliana is trained dental professional.
Paul Taft, RN, NASM CPT
Paul is a Registered Nurse, CrossFit Level 1 instructor, and has completed certifications in Precision Nutrition. His goal is to bridge the gap between healthcare and fitness.
Prakash CVS, PhD
Prakash was formerly a Director at the Indian Space Research Organization division known as Antrix. Subsequent to retirement, he decided to work for his son-in-law at 4 Elements to keep busy and constantly learn new things.
Anna Siolkowski, LMT
Anna is a licensed massage therapist who loves working with all types of people to help them better their musculoskeletal health and wellness. Patients often say she gives the best massages they’ve ever had!
Deborah Maccarone, MA, CH
Deb is a former school psychologist who entered the world of clinical hypnotherapy first as a patient and subsequently as a practitioner. She believes that perception greatly impacts our way of life, and that learning to change those perceptions and our body’s physiological response to those perceptions can be very healing.
Jessica Hale
Aesthetics is an experience. Jessica is committed to finding the perfect balance between natural and modern skincare options that fit your lifestyle. She has spent years learning about low-toxin living and holistic skincare treatments. Her ultimate goal is to support you long after you leave the treatment room, so you have radiant and healthy skin for years to come. She believes in uniting the mind, body, and soul in her practices, creating a calming and rejuvenating experience for all your senses.
Carolyn Parker, RN
Carolyn is an experienced Registered Nurse with a passion for aesthetics and medical procedures. She has held multiple roles as a Nurse and in Management and is excited to bring all of her skill of patient education, teaching, and coaching to help you look and feel your best!.
Hema Sriram
Hema has a special role in the practice as Dr. Kainkaryam’s mother. With her exceptional organizational skills that her son is first hand witness to, she brings this passion for structure to help out in the office from time to time, ensuring that her son is behaving!
The four principles that shape how we practice.
These four ideas define the patient experience at 4 Elements and guide how care is delivered every day.
Engage
Better health depends on connection before, during, and between visits — in person, by video, by phone, and through direct communication.
Educate
We believe patients deserve real education, practical guidance, and clear answers — not rushed instructions without context.
Empower
Care works best when patients are informed, involved, and supported in making decisions that align with their goals.
Encourage
We aim to create a safe, positive, supportive environment because encouragement is often what sustains long-term wellness.
Ready to experience a more personal kind of care?
Whether you’re exploring Direct Primary Care, wellness services, or simply want a better healthcare experience, we’d love to help you find the right next step.