The dissemination of New Delhi metallo-β-lactamase (NDM)-producing Escherichia coli poses a serious threat to public health. Although increasing attention has been paid to the relationship between temperature and antimicrobial resistance (AMR) transmission, research in China’s Xinjiang region remains scarce. In this study, we conducted a cross-sectional survey of 1914 samples from intensive livestock farms across Xinjiang to characterize the detection rate and antimicrobial resistance profiles of blaNDM-positive E. coli. Using selective culture, PCR, and 16S rRNA sequencing, we identified 140 blaNDM-positive E. coli (7.3%), predominantly in northern Xinjiang. The highest detection rate of blaNDM-positive E. coli was found in Tacheng Prefecture (24.0%), followed by Changji Hui Autonomous Prefecture (4.3%) and Bortala Mongol Autonomous Prefecture (0.6%). No blaNDM-positive E. coli isolates were detected in Bayingolin Mongol Autonomous Prefecture, Kashgar Prefecture, or from pigeon samples. Binomial logistic regression analysis revealed a significant positive association between regional temperature and the detection rate of blaNDM-positive E. coli. Genotypic analysis identified 35 distinct resistance gene profiles, with predominant resistance genes including blaTEM (87.9%), ant(3″)-Ia (97.1%), qnrS (92.9%), tet(A) (95.0%), sul1 (70.0%), sul3 (85.0%), and floR (97.1%); mcr-1 and mcr-8 were not detected. Antibiotic susceptibility tests showed that all isolates were resistant to imipenem and exhibited universal resistance to ampicillin, ceftiofur, tetracycline, florfenicol, and enrofloxacin, whereas the majority remained susceptible to amikacin (99.3%), tigecycline (94.3%), and polymyxin (77.1%). These findings indicate that livestock farms, particularly laying-hen systems in northern Xinjiang, may serve as reservoirs of multidrug-resistant blaNDM-positive E. coli, and that elevated regional temperature is an environmental factor associated with higher detection rates, underscoring a potential climate-associated risk for the spread of AMR.