Active NPI
Wayne H Blauer, MD
- Family Medicine Physician
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M4491
- Practice address
- 521 E Main St
Burley, ID 83318-1936 - Phone
- (208) 677-6091
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M4491 | ID | Primary |
Addresses
Primary practice location
521 E Main St
Burley, ID 83318-1936
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (208) 678-2283
Other practice location 1
1501 Hiland Ave
Burley, ID 83318-2688
Phone (208) 678-2283
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DBBE9 | Other | ID | BLUE CROSS OF IDAHO |
| 000010003657 | Other | ID | BLUE SHIELD OF IDAHO |
| 002576000 | Medicaid | ID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/20/NhinService/XDRReguestService | Other | Bluemark LLC / Office Ally |
| Direct Messaging Address | wayne.blauer@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1501 Hiland Ave
Burley, ID 83318-2688
Phone (208) 678-4444
1501 Hiland Ave F
Burley, ID 83318-2682
Phone (208) 678-4444
1501 Hiland Ave K
Burley, ID 83318-2682
Phone (208) 678-1126
521 E Main St
Burley, ID 83318-1936
Phone (208) 677-6091
Hospital & facility affiliations
- Intermountain Home Care of Cassia
- Enhabit Home Health of Idaho
- Cassia Regional Hospital
- St Lukes Magic Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4491 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
1501 Hiland Ave
Ste L3
Burley, ID 83318
Phone (208) 678-2283
1501 Hiland Ave
Ste N
Burley, ID 83318
521 E Main St
Burley, ID 83318
Phone (208) 677-3400
Organizations & group practices 5
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.
-
dba CRMC Family Medicine
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
- Family Medicine Physician
- Burley, ID
- NPI 1184812232
-
dba Cassia Regional Hospital Physicians
- Obstetrics & Gynecology Physician
- Burley, ID
- NPI 1043324585
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health of Idaho
- Home Health Agency
- Twin Falls, ID
- NPI 1801884374
-
dba Intermountain Health Home Health Cassia
- Home Health Agency
- Burley, ID
- NPI 1518287267
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1851334817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180",
"telephone_number": "208-678-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E MAIN ST",
"city": "BURLEY",
"state": "ID",
"postal_code": "833181936",
"telephone_number": "208-677-6091"
}
],
"practiceLocations": [
{
"address_1": "1501 Hiland Ave",
"address_purpose": "LOCATION",
"city": "Burley",
"state": "ID",
"postal_code": "833182688",
"country_code": "US",
"telephone_number": "208-678-2283",
"fax_number": "208-677-6059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAUER",
"first_name": "WAYNE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M4491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "DBBE9",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010003657",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002576000",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/20/NhinService/XDRReguestService",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wayne.blauer@direct.imail.org",
"affiliation": "N",
"address_1": "1501 Hiland Ave",
"city": "Burley",
"state": "ID",
"country_code": "US",
"postal_code": "833182688",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.