4 ELEMENTS DIRECT PRIMARY CARE LLC
NPI 1730756636
Internal Medicine in South Windsor, CT
About 4 Elements Direct Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
4 ELEMENTS DIRECT PRIMARY CARE LLC (NPI 1730756636) is a healthcare organization registered as an internal medicine in South Windsor, Connecticut and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Vasanth Kainkaryam, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2175270
4 Elements Direct Primary Care LLC · South Windsor, CTCertificate of Waiver 07D2184255
4 Elements Direct Primary Care LLC · Rocky Hill, CTOther Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730756636, enumerated as an "organization" on June 08, 2021.
The provider is located at 1300 SULLIVAN AVE SOUTH WINDSOR, CT 06074 and the phone number is (860) 469-5646.
Internal Medicine with taxonomy code 207R00000X.