Individual provider Active NPI

Manisha Godbole, AU.D.

  • Audiologist
  • Dayton, OH
National Provider Identifier
1053538819
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01433 Issued in OH
Practice address
369 W 1St St
Suite 406
Dayton, OH 45402-3095
Phone
(937) 222-0022
NPI assigned
Apr 20, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01433 OH Primary

Addresses

Primary practice location

369 W 1St St
Suite 406
Dayton, OH 45402-3095

Mailing address

3170 Kettering Blvd BLDG B2ND
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

8439 Yankee St
Centerville, OH 45458-1832
Phone (937) 312-9368

Other practice location 2

1055 Summit Dr
Middletown, OH 45042-3464
Phone (513) 420-4678

Other names 1

  • Manisha Kelkar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000365 OH Practitioner - Qualified Audiologist 9830611797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvpc Specialists, Inc.Group PAC ID 8921022260, 80 clinicians

Practice addresses (Care Compare)

1055 Summitt Dr
Middletown, OH 45042-3464
Phone (513) 420-4678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-01433OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uvpc Specialists, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Uvpc Specialists Inc. CurrentSince Mar 3, 2025 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

8439 Yankee St
Dayton, OH 45458
Phone (937) 440-7872

1055 Summit Dr
Middletown, OH 45042
Phone (513) 420-4678

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1053538819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2ND",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 W 1ST ST",
            "address_2": "SUITE 406",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023095",
            "telephone_number": "937-222-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8439 Yankee St",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454581832",
            "country_code": "US",
            "telephone_number": "937-312-9368",
            "fax_number": "937-440-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Summit Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450423464",
            "country_code": "US",
            "telephone_number": "513-420-4678",
            "fax_number": "513-420-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANISHA",
            "last_name": "KELKAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.