Individual provider Active NPI

Wayne H Blauer, MD

  • Family Medicine Physician
  • Burley, ID
National Provider Identifier
1851334817
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4491 Issued in ID
Practice address
521 E Main St
Burley, ID 83318-1936
Phone
(208) 677-6091
NPI assigned
Jun 14, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DBBE9OtherIDBLUE CROSS OF IDAHO
000010003657OtherIDBLUE SHIELD OF IDAHO
002576000MedicaidID

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000676 ID Practitioner - Family Practice 0648253146 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4491IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 1, 2014 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.