The extensive implementation of ground source heat pumps in urban aquifers is an important issue related to groundwater quality and the future economic feasibility of existent geothermal installations. Although many cities are in the immediate vicinity of large rivers, little is known about the thermal river-groundwater interaction at a kilometric-scale. The aim of this work is to evaluate the thermal impact of river water recharges induced by flood events into an urban alluvial aquifer anthropogenically influenced by geothermal exploitations. The present thermal state of an urban aquifer at a regional scale, including 27 groundwater heat pump installations, has been evaluated. The thermal impacts of these installations in the aquifer together with the thermal impacts from "cold" winter floods have also been spatially and temporally evaluated to ensure better geothermal management of the aquifer. The results showed a variable direct thermal impact from 0 to 6°C depending on the groundwater-surface water interaction along the river trajectory. The thermal plumes far away from the riverbed also present minor indirect thermal impacts due to hydraulic gradient variations.