Individual provider Active NPI

Monique Kym Luxenburg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
National Provider Identifier
1366849416
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003974 Issued in OH
Practice address
7711 W Ridgewood Dr
Parma, OH 44129-5553
Phone
(440) 885-1000
Fax
(440) 255-9400
NPI assigned
Dec 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003974 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003974 OH Primary

Addresses

Primary practice location

7711 W Ridgewood Dr
Parma, OH 44129-5553

Mailing address

9663 Santa Monica Blvd # 1151
Beverly Hills, CA 90210-4303

Other practice location 1

4492 W 220th St
Fairview Park, OH 44126-3340
Phone (440) 885-1000

Other practice location 2

12575 Rockside Rd Ste 104
Garfield Heights, OH 44125-4571
Phone (216) 365-9700

Other names 1

  • Monique Kym Terrazas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000586 OH Practitioner - Podiatry 7315213931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8334 Mentor Ave
Suite 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue636
Removal or shaving of skin growth200
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003974OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince May 25, 2023 Accepting new patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince May 25, 2023 Accepting new patients

Locations

3903 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4477

4492 W 220th St
Fairview Park, OH 44126
Phone (440) 734-2228

12575 Rockside Rd
Garfield Hts, OH 44125
Phone (216) 663-2515

12575 Rockside Rd
Ste 104
Garfield Hts, OH 44125
Phone (216) 365-9700

757 Alpha Dr
Ste B
Highland Hts, OH 44143
Phone (440) 885-1000

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

7711 W Ridgewood Dr
Parma, OH 44129
Phone (440) 885-1000

Interoperability endpoints

  • Direct secure messaging: mluxenburgdpm@ofas.medentdirect.com
  • Direct secure messaging: mluxenburg38069@ehrdirect.uhhospitals.org

Organizations & group practices 2

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 1

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1366849416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1151",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 W RIDGEWOOD DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295553",
            "telephone_number": "440-885-1000",
            "fax_number": "440-255-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4492 W 220th St",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "441263340",
            "country_code": "US",
            "telephone_number": "440-885-1000",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12575 Rockside Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441254571",
            "country_code": "US",
            "telephone_number": "216-365-9700",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUXENBURG",
        "first_name": "MONIQUE",
        "middle_name": "KYM",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003974",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "TERRAZAS",
            "middle_name": "KYM",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.