Active NPI
Qi Wen Xin, D.O.
- Family Medicine Physician
- Guadalupe, AZ
National Provider Identifier
1558065730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 012269
- Practice address
- 5825 E Calle Guadalupe
Guadalupe, AZ 85283-2664 - Phone
- (480) 344-6000
- NPI assigned
- Mar 30, 2023
- Sex
- Female
- 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 | 012269 | AZ | Primary |
Addresses
Primary practice location
5825 E Calle Guadalupe
Guadalupe, AZ 85283-2664
Mailing address
5825 E Calle Guadalupe
Guadalupe, AZ 85283-2664
Phone (480) 344-6000
Other names 1
- Dr. Tina Xin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611000896 | AZ | Order and Referring Only - Family Practice | 5193235836 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1558065730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 E CALLE GUADALUPE",
"city": "GUADALUPE",
"state": "AZ",
"postal_code": "852832664",
"telephone_number": "480-344-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 E CALLE GUADALUPE",
"city": "GUADALUPE",
"state": "AZ",
"postal_code": "852832664",
"telephone_number": "480-344-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIN",
"first_name": "QI WEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-30",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "012269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "XIN",
"prefix": "DR.",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Guadalupe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.