Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Tao Buedefeldt-Pollard, MD

Individual provider Obstetrics Physician · NPI 1669768644

Jesse Tao Buedefeldt-Pollard, MD is an Obstetrics/Gynecology in Springfield, Illinois. Graduated from Albany Medical College of Union University in 2011, 15 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
15
Trained at
Albany Medical College of Union University
Licensed in
IL, OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 N 9th St Bldg Q
Springfield, IL 62702-5317
Phone: (217) 545-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 N 9th St, Springfield, IL 62702-5303 — (217) 545-8000

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence 036140756 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD171594 (OR)

Record details

NPI number1669768644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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