Organization Active NPI

Sacred Heart Community Clinic

  • Adult Medicine Physician
  • Round Rock, TX
National Provider Identifier
1235061938
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SACRED HEART COMMUNITY CLINIC
Practice address
620 Round Rock West Dr BLDG 8
Round Rock, TX 78681-5087
Phone
(512) 716-3929
Fax
(512) 716-3998
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Christopher Rivera
Title
Executive Director
Phone
(512) 716-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

620 Round Rock West Dr BLDG 8
Round Rock, TX 78681-5087

Mailing address

PO Box 561
Round Rock, TX 78680-0561
Phone (512) 716-3929

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2013847Sacred Heart Community Clinic620 Round Rock West Dr BLDG 8, Round Rock, TX 78681Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

620 Round Rock West Dr
Bldg 8
Round Rock, TX 78681
Phone (512) 716-3929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1235061938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786800561",
            "telephone_number": "512-716-3929",
            "fax_number": "512-716-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ROUND ROCK WEST DR BLDG 8",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815087",
            "telephone_number": "512-716-3929",
            "fax_number": "512-716-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-716-3929"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.