Provider profile

Nathan PirakitikulrMD, PHD

Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery

5 locationsNPI 1700316817
531 N Highway 101, Solana Beach, CA 92075858-529-9973

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Medicare Advantage plans for San Diego County, CA, Miami-Dade County, FL and Plymouth County, MA.

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Directory results See what each insurance company reports

Listed on 12 plans so far

Some of Anthem Blue Cross, Aetna Medicare, Alignment Health Plan, Community Health Group, Humana, AmeriHealth Caritas VIP Care (HMO-D-SNP), Astiva Health, Blue Shield of California, Champion Heath Plan, Clever Care Health Plan, Commonwealth Care Alliance Massachusetts, Commonwealth Care Alliance, Inc., Devoted, Doctors HealthCare Plans, Inc., eternalHealth, Fallon Health, Florida Complete Care, Gold Kidney Health Plan, Imperial Health Plan of California, Inc., Kaiser Permanente, Leon Health, Inc., Mass General Brigham Health Plan, Molina Healthcare of California, SCAN Health Plan, Solis Health Plans, Tufts Health Plan, UnitedHealthcare and Wellcare's 2027 plans in San Diego County, CA, Miami-Dade County, FL and Plymouth County, MA haven't been checked yet.

The 231 Medicare Advantage plans we show for San Diego County, CA, Miami-Dade County, FL and Plymouth County, MA in 2027

  • 12 list Nathan
  • 73 not listed
  • 146 not checked yet

Anthem Blue Cross · Anthem Blue Cross and Blue Shield · Anthem Blue Cross Partnership Plan · HealthSun Health Plans, Inc. · Simply Healthcare Plans, Inc.

4 plans list Nathan.

4plans
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Oceanside, CA, 92054
    • 100 Stein Plz, Los Angeles, CA, 90095

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0544-065-000Medicare.gov
    $0a month
  • Anthem Prime (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Oceanside, CA, 92054
    • 100 Stein Plz, Los Angeles, CA, 90095

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH4161-003-000Medicare.gov
    $0a month
  • Anthem Select (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Oceanside, CA, 92054
    • 100 Stein Plz, Los Angeles, CA, 90095

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0544-091-000Medicare.gov
    $0a month
  • Anthem Kidney Care (PPO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Oceanside, CA, 92054
    • 100 Stein Plz, Los Angeles, CA, 90095

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverage3 starsH4909-030-000Medicare.gov
    $0a month

7 more Anthem Blue Cross plans haven't been checked yet.

Aetna Medicare

2 plans list Nathan; not listed on 2 other plans.

2plans
  • Aetna Medicare Eagle (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage3 starsH0523-099-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Legacy (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075
    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0523-022-000Medicare.gov
    $10a month

10 more Aetna Medicare plans haven't been checked yet.

Alignment Health Plan

2 plans list Nathan; not listed on 13 other plans.

2plans
  • Alignment Health Balance Plus 004 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH8832-004-000Medicare.gov
    $7.30a month
  • Alignment Health Advantage 005 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 531 N Highway 101, Solana Beach, CA, 92075

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH8832-005-000Medicare.gov
    $160a month

Community Health Group

2 plans list Nathan.

2plans
  • Community y Más (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverageH6248-001-000Medicare.gov
    $0a month
  • CommuniCare Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage2.5 starsH4733-001-000Medicare.gov
    $7.30a month

Humana · CarePlus Health Plans, Inc.

2 plans list Nathan; not listed on 4 other plans.

2plans
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5525-078-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback with Rx (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 2124 S El Camino Real, Ste 100, Oceanside, CA, 92054

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-057-000Medicare.gov
    $0a month

31 more Humana plans haven't been checked yet.

AmeriHealth Caritas VIP Care (HMO-D-SNP)

Not checked yet.

Astiva Health

Not listed on its 5 plans here. That isn't proof they're out of network.

Blue Shield of California · Florida Blue · Florida Blue HMO · Blue Cross Blue Shield of Massachusetts

Not checked yet.

10 more Blue Shield of California plans haven't been checked yet.

Champion Heath Plan

Not listed on its 9 plans here. That isn't proof they're out of network.

Clever Care Health Plan

Not listed on its 6 plans here. That isn't proof they're out of network.

Commonwealth Care Alliance Massachusetts

Not checked yet.

Commonwealth Care Alliance, Inc.

Not checked yet.

Devoted

Not checked yet.

Doctors HealthCare Plans, Inc.

Not checked yet.

eternalHealth

Not checked yet.

Fallon Health

Not checked yet.

Florida Complete Care

Not checked yet.

Gold Kidney Health Plan

Not checked yet.

Imperial Health Plan of California, Inc.

Not listed on its 4 plans here. That isn't proof they're out of network.

Kaiser Permanente

Not listed on its 3 plans here. That isn't proof they're out of network.

Leon Health, Inc.

Not checked yet.

Mass General Brigham Health Plan

Not checked yet.

Molina Healthcare of California · Molina Healthcare of Massachusetts

Not checked yet.

3 more Molina Healthcare of California plans haven't been checked yet.

SCAN Health Plan

Not listed on its 8 plans here. That isn't proof they're out of network.

Solis Health Plans

Not checked yet.

Tufts Health Plan

Not checked yet.

UnitedHealthcare

Not checked yet.

21 more UnitedHealthcare plans haven't been checked yet.

Wellcare

Not checked yet.

6 more Wellcare plans haven't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

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Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 23, 2026

Compare Supplement plans

5 practice locations

531 N Highway 101
Solana Beach, CA 92075

NPI Registry

1611 NW 12th Ave
Miami, FL 33136

NPI Registry

680 Centre St
Brockton, MA 02302

NPI Registry

100 Stein Plz
Los Angeles, CA 90095

NPI Registry

625 S Fair Oaks Ave Ste 280
Pasadena, CA 91105

NPI Registry
NPI issued
2017
Registry record updated
Dec 7, 2023

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Nathan Pirakitikulr?

In San Diego County, CA, Miami-Dade County, FL and Plymouth County, MA, 12 Medicare Advantage plans for 2027 list Nathan in provider data from Medicare.gov or the carrier, including Anthem Medicare Advantage (HMO-POS), Anthem Prime (HMO-POS) and Anthem Select (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Nathan Pirakitikulr practice?

5 locations, including 531 N Highway 101, Solana Beach, CA. All of them are listed on this page.

How do I confirm Nathan is in my plan's network?

Call the member services number on your plan card and give them the NPI 1700316817, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Nathan's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in San Diego County, CA, Miami-Dade County, FL and Plymouth County, MA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2023-12-07). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 13, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Nathan Pirakitikulr or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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