Individual provider Active NPI

Fathima Zainab Kolonda Kilpatrick, M.D.

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1174848626
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A153873 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-8888
NPI assigned
Mar 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036131376 IL
Anesthesiology Physician 207L00000X A153873 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 570-2760

Other practice location 2

3134 N Clark St
Chicago, IL 60657-4414
Phone (312) 766-4949

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fkolonda250961@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141222001986 IL Practitioner - Anesthesiology 3173846292 Reassigns benefits to 5 organizations
I20250512002621 CA Practitioner - Anesthesiology 3173846292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University ofGroup PAC ID 8729983473, 236 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153873CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Anesthesiology CurrentSince Jun 9, 2025 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Sep 23, 2024 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Sep 23, 2024 Accepting new patients
Encore Anesthesia Group LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Midwest Anesthesiologists, LTD. Anesthesiology CurrentSince Aug 22, 2018 Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology CurrentSince Mar 6, 2018 Accepting new patients
Midwest Anesthesia Partners, LLC Anesthesiology CurrentSince Aug 25, 2014 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

3407 Momentum Pl
Chicago, IL 60689

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

Interoperability endpoints

  • Direct secure messaging: fkolonda250961@direct.myadvocateaurora.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1174848626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Central Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052349",
            "country_code": "US",
            "telephone_number": "847-570-2760",
            "fax_number": "847-570-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3134 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574414",
            "country_code": "US",
            "telephone_number": "312-766-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLONDA KILPATRICK",
        "first_name": "FATHIMA",
        "middle_name": "ZAINAB",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036131376",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A153873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkolonda250961@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3134 N Clark St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3134 N Clark St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.