Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ISSA BERNALIN HERNAEZ MASLOG MD
NPI 1457049264
Internal Medicine in Saint Joseph, MI

Q: What is Issa Bernalin Maslog's NPI number?

The NPI number for Issa Bernalin Maslog is 1457049264. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Issa Bernalin Maslog's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 28, 2023PECOS Enrolled

3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085(269) 983-0500 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, May 30, 2023 (2 updates tracked since 2023).

On this page

About Issa Bernalin Hernaez Maslog Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISSA BERNALIN HERNAEZ MASLOG MD (NPI 1457049264) is an individual internal medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301518466) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457049264

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameISSA BERNALIN HERNAEZ MASLOGCredential: MD

Location Address3950 HOLLYWOOD RD STE 270Saint Joseph, MI 49085-9158

Mailing Address3950 Hollywood Rd Ste 270Saint Joseph, MI 49085-9158 · (269) 983-0500

Phone(269) 983-0500

Sole ProprietorNo

Enumeration DateApril 28, 2023

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1457049264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301518466

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3950 HOLLYWOOD RD STE 270, Saint Joseph, MI 49085

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Issa Bernalin Hernaez Maslog Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA MARGARET RUCANO NP

Nurse Practitioner