Doctor of Medicine, University of Rochester School of Medicine & Dentistry

Master of Science in Health Informatics
Northwestern University

Bachelor of Arts (Linguistics, Biology), Cornell University

Certified Physician Executive, Certifying
Commission on Medical Management (CPE)

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 & Wellness Space 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:


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

Moshe (Moe) Karp, MPH

Medical Operations Externpreneur/Assisant

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.

Nidhi Anchan

Medical Operations Externpreneur/Assistant

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.

*Nidhi is a Physician by education but not yet licensed to practice medicine in the United States.

Paul Taft, RN

Nurse Health Coach

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

Administrative/Compliance Assistant

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.


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.


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.


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.


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.