MATTHEW SEBULIBA RN
NPI 1295064921
Registered Nurse in Milwaukee, WI

NPI Status: Active since December 08, 2009

Contact Information

5319 N MOHAWK AVE APT 2
MILWAUKEE, WI
ZIP 53217
Phone: (414) 817-2055

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  • Individual
  • Male
  • Registered Nurse
  • CLIA Number: 52D2068033
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-27-2025

About MATTHEW SEBULIBA

This page provides the complete NPI Profile along with additional information for Matthew Sebuliba, a provider established in Milwaukee, Wisconsin with a medical specialization in Registered Nurse. The healthcare provider is registered in the NPI registry with number 1295064921 assigned on December 2009. The practitioner's primary taxonomy code is 163W00000X with license number 157766-030 (WI). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1295064921
Provider Name
MATTHEW SEBULIBA RN
Gender
Male
Entity Type
Individual
Location Address
5319 N MOHAWK AVE APT 2 MILWAUKEE, WI 53217
Location Phone
(414) 817-2055
Mailing Address
5319 N MOHAWK AVE APT 2 MILWAUKEE, WI 53217
Mailing Phone
(414) 817-2055
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2009
Last Update Date
12-08-2009
Code Navigator

A registered nurse (RN) like Matthew Sebuliba coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse

Taxonomy Code
163W00000X
Type
Nursing Service Providers
License No.
157766-030
License State
WI
Taxonomy Description
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2068033
Facility Type
Assisted Living Facility
Certificate Effective Date
October 28, 2023
Certificate Expiration Date
October 27, 2025
Laboratory Director
KUROSH DEJGOSHA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Matthew Sebuliba to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295064921, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 0 + 6 + 8 + 9 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295064921.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295064921, enumerated as an "individual" on December 08, 2009.

The provider is located at 5319 N MOHAWK AVE APT 2 MILWAUKEE, WI 53217 and the phone number is (414) 817-2055.

Registered Nurse with taxonomy code 163W00000X.