Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4 Elements Direct Primary Care LLC

Organization Internal Medicine Physician · NPI 1730756636

4 Elements Direct Primary Care LLC is an Internal Medicine Physician in South Windsor, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Sullivan Ave
South Windsor, CT 06074-2713
Phone: (860) 469-5646
Fax: (860) 310-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X

Record details

NPI number1730756636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vasanth Kainkaryam — Managing Member · (860) 469-5656
NPI enumeratedJune 8, 2021
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025
Mailing address1300 Sullivan Ave, South Windsor, CT 06074-2713

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