JESSE T. BUEDEFELDT-POLLARD M.D. – NPI #1669768644
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

JESSE BUEDEFELDT-POLLARD is a physician located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1669768644 to JESSE BUEDEFELDT-POLLARD on June 28, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his former name JESSE TAO POLLARD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSE BUEDEFELDT-POLLARD below.

NPI Profile for
JESSE T. BUEDEFELDT-POLLARD

NPI Number
1669768644
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE T. BUEDEFELDT-POLLARD
Former Name: JESSE TAO POLLARD
Credentials
M.D.
Primary location
421 N 9TH ST BLDG Q
SPRINGFIELD, IL 62702-5317
Phone: (217) 545-8000 Fax:
1 Other location(s):
415 N 9th St
Suite 6W100
Springfield, IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 545-4912
Mailing address
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone: (217) 545-8000 Fax: (844) 470-2486
Sole Proprietor
No
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JESSE BUEDEFELDT-POLLARD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL036140756
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)		 IL 036140756
207V00000X
- Obstetrics & Gynecology		 OR MD171594

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
415 N 9TH ST,
SPRINGFIELD, IL 77025-1669

Additional Information

Education
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSE BUEDEFELDT-POLLARD is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL MEDICAL CENTER
      701 N FIRST ST
      SPRINGFIELD, IL 62702
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.